The BIGGEST Risk Factor For Heart Attack

[@great-garden-watch]

This weird misguided obsession with cholesterol in the medical profession needs to stop.

[@djrg7921]

but it makes TRILLIONS !!! - and your SUPER will suffer if truth gets out

[@kubenmoodliar477]

Agreed 👍

[@connielentz1114]

My cardiologist just restarted me on a statin, based on my lipid profile. I had discontinued it because of myalgias. I've got the myalgias back so I am going to stop it. This is a great explanation. I am a retired general internist, and I was generally skeptical of statins when I was in practice, especially for primary prevention. Our toxic food environment is the elephant in the room.

[@sangeet9100]

There's no "food environment"; it's food choice

[@thelegendalexander]

Do yourself a favour dear, buy the book " The great cholesterol con " by dr.Malcolm Kendrick and thank me later :)

[@markrobinowitz8473]

Statins also stabilize plaques in your arteries, they're not just to lower cholesterol levels. "Vulnerable plaque" is a good search term.

[@donnazasgoat2274]

I agree with you! It is the food "environment". In order to minimize the noxious things in food such as additives, harmful seed oils, preservatives, sugars, etc you'd have to do all your cooking because the pre-cooked America diet is full of it. No wonder there is so many Americans now diagnosed with Type 2 diabetes.

[@dawnelder9046]

The Cholesterol Con mentioned above is another great book.

[@primitivex5221]

Statins made my intestines swell shut it was horrible . In and out of the ER and hospital for 18 months . I quit smoking and eat better . Not been back to cardiologist in over a year . It's been 4 years since my stents. $2000 per visit with tests . I walk 4 to 5 days a week and lift 2 days a week . Everyday is a gift.

[@oldmech619]

I am almost 80. I don’t care what my readings are, it will not make that much difference. I want to enjoy the remaining years.

[@michaelhickey131]

God bless you! Put your Faith in Him, for He will call when He is ready.

[@Chosen.24]

@@michaelhickey131amen

[@lyndonnewton8854]

👍

[@karend.9218]

Enjoy your days and take your MEDS: meat, eggs, dAiry and seafood!

[@oldmech619]

@@karend.9218 I love my meat n potatoes with lots of salt n butter. I ain’t going to give it up. Enjoy life.

[@EnglishVibes331]

Cholesterol is important to pay attention to if you have a calcification from eating poorly. My CT score was 29.1 12 years ago. Today it’s 61.1. The mass has doubled. It’s in my widowmaker (LAD). In two months I’ve dropped my triglycerides from 160 to 80. LDL is 65 now. HDL is stubborn; between 37 and 44

[@shinola228]

I've always had low triglyceride levels until one year when l went off my usual low carb diet. Triglycerides literally quadrupled and l gained weight. Great video - it should be required viewing by all docs.

[@rejean2744]

Jama had a report in March on statins that concluded that they were very ineffective in reducing heart attack and stroke deaths. This was an excellent video. Thank you.

[@nooks12]

What is that article?

[@veronicavillegas3730]

Highly impressed by this and all your videos. We need more Healthcare providers like you to make a difference. People need to take responsibility in learning to care for themselves. Medications can be lifesaving, but healthy lifestyles are vital. Thank you for advocating for the public and for maintaining such strong ethics despite the multiple pressures exerted by our broken healthcare system. God bless your kind heart and values.

[@kelso1286]

I'm here for his art work.

[@Melody-285]

LOL LOL - love that comment ! Thanks for my chuckle of the day 😂

[@lpg12338]

😁👍

[@jennibruno7813]

😂

[@Mmm...yummymummy]

Dear Dr. Is R. handed. They can,t draw. He does well enuf.😊

[@rasmokey4]

Waatching Doom and Gloom videos causing Stress leads to Anxiety too!

[@OttoNommik]

Reading your ridiculous comment causes anxiety and stress.

[@rasmokey4]

@@OttoNommik oh no!

[@kenparsons1396]

@@OttoNommik😂

[@L.A.6482]

Thanks Dr Mike for being the voice of ethics and caring about human beings. Worked as cardiac nurse and rehab nurse for many years and totally agree. The science must be listened to not the money interests and separated out over time it becomes clearer. Your analysis is spot on in my opinion and much much needed by the public. Your doing such a great public service.

[@DoctorMikeHansen]

thank you L. Ann - it's really nice to hear that, especially because there are a lot of misunderstandings about heart health.

[@ko7305]

kina/wax viruz

[@cyberfunk3793]

@@DoctorMikeHansen Where do you get the idea that large LDL is neutral from a CVD risk perspective? Every lipid expert I have heard talk about says large LDL particles are dangerous also just not as dangerous as the smaller ones. And from the paper: "Lipoprotein Particle Profiles by Nuclear Magnetic Resonance Compared with Standard Lipids and Apolipoproteins in Predicting Incident Cardiovascular Disease in Women" you can clearly see the risk factor for the larger LDL particles is 1.44 and 1.63 for the smaller ones so obviously both are risky and the difference between them isn't that huge. Is it only the egg board theory that larger LDL would be neutral or are there some actual solid data to demonstrate this?

[@zeroceiling]

@@cyberfunk3793 ….hmmm…still no response from the doctor to this.

[@tonyprice2256]

@@cyberfunk3793 You aren't employed by Pfizer are you?

[@Jen39x]

I get way more motivation out of knowing why. Obviously one’s personal doctor doesn’t get to sit down and explain this stuff. Dr. Mike keep on making these videos. I wonder how many people you are helping. Thank you!

[@RobertReichertsutanimulli]

Thank you. Very Informative

[@anwarnayani5849]

Ordinary Dr make money 💰 only motive

[@DoctorMikeHansen]

Thanks Jenny! It's always rewarding when people can understand the why of things. Comments like yours always motivate me to keep this going!

[@ko7305]

kina/wax viruz

[@jeffyeah4256]

@@DoctorMikeHansen Who is your favorite cardiologist? I am looking for a good one.

[@estimating1014]

Great video and great information. After watching this, I think that I am entitled to 3 college credits!!! I had a heart attack on April 8, 2023. One stent put in my right artery that was 100% blocked. Left the hospital on a 40mg statin. After a few months, I requested blood work to look at my cholesterol numbers because I told the doc that I didn't want to take more meds than needed. My cholesterol was not high when I weighed 247 lbs. I now weigh 194, changed my diet and exercise program. The doc said that he was going to reduce the statin to 20mg. When he did, I stopped taking them. Did more blood work 3 months later not taking the statin and my cholesterol and triglycerides are perfect. Triglycerides were 120 when I weighed 247, now they are 71. I have come to the conclusion from great doctors on youtube - that the side effects OUT WEIGH the benefit of any statin med in any dose. This is one of the best videos on this subject I have watched and I have watched dozens of them. Doctor Mike Hansen is in a league all by himself!!!!

[@howiefine3074]

@@estimating1014 he’s actually late to the renaissance… go carnivore.

[@mobiustrip1400]

Been LCHF/ IF since 2017 - Lost 60 pounds and kept it off. My meals today: 4 scrambled eggs in butter with spinach sprinkled with flaxseed, then later a fatty 300 gram sirloin with sauerkraut, cherry tomatoes and some almonds and olives for dessert. 55 and my heart pumps like a champ🏆

[@renzo6490]

I use flax seed and chia seed. For optimal absorption, I grind the seeds in a coffee bean grinder

[@luvlabso130]

You lost a half of a person 60lbs Of course things will be better. Everyone knows that jeez

[@akeleven]

Let me know when you get bored

[@singerjo5791]

@@luvlabso130The point was that what he is eating helped him lose the weight. Keto diet as opposed to high carb diet.

[@januar2741]

Been doing that but my LDL skyrocketed to 200. Trigliseride 43, hdl 76. Is it ok tho? Im super active, weight training and cardio 6 tikes a week, im 36 yo. I eat healthy lot of protein, moderate fat,low carbs.

[@miamucci4924]

Lack of love and respect huge factor

[@sklundy74]

Thank you for simplifying this information. My husband and I have been trying to sort out this exact topic for a while now. He has had mitral valve replacement and a bypass. He’s now on a statin, but is doing a major overhaul on his diet. We’re beginning to see that metabolic syndrome is the key link to nearly all modern health conditions.

[@cathyellington7599]

Thank you for showing this video. A very good friend of mine just yesterday told me a story about her husband. He was going to have a knee replacement. He went to get cardiac clearance. The cardiologist noticed his cholesterol was borderline so he started him on Lipitor 80 mg. He had the surgery but his recovery wasn’t As expected. The pain was intense and he needed lots of pain meds. He developed a darkness in that leg that couldn’t be explained. Finally the orthopedic said I don’t understand what is happening but you should not hurt like this. His wife did some research and found that Lipitor can cause muscle and joint pain. He ended up with a rash and blisters. He stopped the med cold turkey and that I told her wasn’t the smartest thing to do. He isn’t doing well. Still having severe stomach cramps and muscle aches. He took that dose for 4 months which according to literature should never have been given for a cholesterol level of borderline. The good cardiologist even told her that the primary Dr. would thank him for addressing an issue he was just watching. How long can these symptoms go on for after the med is stopped? Questions she has been trying to get answers for.

[@macgyverswissarmykni]

You've very neatly articulated information in a short period of time that has taken me several years to comprehend, in a format that is easily understood by practically anybody. Hopefully your messaging allows more people to see and understand that there is a thriving deconstruction of decades of dogma and shaky science, and perhaps in a generation or two our current dietary guidelines will get the same treatment as leaded gasoline or smoking does today.

[@DoctorMikeHansen]

thank you so much! that's always the goal, and I'm glad you found it useful.

[@helenavalda8338]

@@DoctorMikeHansen If only your whole presentation would be a notch slower! 😔 There is way too much information squeezed into a limited time. Not possible to even register all that properly, let alone link and comprehend on the spot 😮‍💨 Wondering what is the reason for rushing??? (this goes for all videos, except the covid ones from early on in the pandemic, when the pace was far more appropriate for an average YT viewer. It is of course fine for experts and those with lots and lots of background knowledge, but it's too fast for the masses)

[@goldenage6720]

@@DoctorMikeHansen Hello dear Doctor! I'm 31 and 2 weeks ago first time in my life i just wanted to check my cholesterol level & got high number of LDL... My doctor said that i should start taking statin asap otherwise later it'll be bad for my health! Please could you help me to understand what should i do, whats is the right way ? 🤷🏻‍♂️ P.S before that i had no complaints about my weight and health...

[@ShalomUSA]

Why is no one talking about inflammation? Cholesterol will pass through smooth vessels, but builds up on the walls of porous , inflamed vessels. I'm a nurse who had a patient on statins for years ...still had bypass, and was placed on the liver transplant list due to "pharmacology induced liver failure" caused by statins.

[@michaelp5283]

I was having all the signs of a coming heart attack after having an arrythmia episode for about 2 hours. My cardiologist never said anything to me about inflammation due to the episode. I started taking Niacin and things to reduce inflammation and all my symptoms are gone! So much for the medical community!

[@ShalomUSA]

@@michaelp5283 I'm an ER nurse for 25 yrs and I'm completely disgusted with the medical establishment. I've watched it go downhill, especially the last 5-10 years. Our family avoids meds, doctors and the hospital...and that's a shame for me to say. I'm truly sorry that the medical community is failing people.

[@Jo11ee]

@@ShalomUSA My last interaction with my gp was due to an abnormal ekg I had done through work, so of course it needed a follow up. I got less than 5 minutes of her time!, most of that was her typing in epic. I had other issues I needed to discuss, but had been dismissed.

[@Anna-ww4pv]

Who would give someone statins for that many years and never check liver enzymes? Usually this is checked twice a year. Every person on statins should know their doctor will check their blood work for this.

[@lindathompson4770]

@ShalomUSA • I don't know if you'll see this since your comment was 5 mo ago. Do you know if having a LBBB and EF 25, finally improved to 45, if either or the combination would warrant taking a statin?

[@brennan353]

I've been reading up on this for the last 12 years at least and discussed the matter with my doctor who had suggested I take statins. I am blessed with a doctor who is open-minded and does not automatically recoil at youtube information though it is frequently justified. My LDL has always been on the high side although I only very occasionally eat processed food (not even salad dressings) and I have been doing 20-hour fasts 4 days a week for the last four years. The intermittent fasting has dropped my triglyceride levels dramatically. This has brought me well into my seventies without signs of diabetes or heart disease though my weight is higher than I would like it to be. I don't know the future but, so far, so good. This video is the best summary of the conclusions I have come to during all the years I have followed this subject. I think anyone interested in the subject but hesitant about challenging the medical orthodoxy to read up on it, there is plenty of published and peer-reviewed scientific papers supporting the information presented here.

[@colvideos1]

You provided a great public health service. I foolishly bought into the low fat fad and have been consuming too much sugar, bread, rice and pasta which i now understand is the cause of my rising LDL and triglycerides. My diet will change today, thanks to your informative presentation. This is one heart attack that will be avoided thanks to you, Doc. 🙏😊

[@DoctorMikeHansen]

Thank you! And yes, I once upon a time bought into the low-fat fad myself. It means a lot that my video made that kind of impact in your life, so cheers to you, and all the best to your health!

[@mikebrigandi_]

lol pasta doesnt cause heart disease. Meat and dairy and eggs cause heart disease

[@adammenhennett]

I wouldn't call you foolish - this whole low fat thing was the prevailing health paradigm from 1978 until....well it is STILL being shouted from the rooftops by most governments! In Australia it says a grown man should have something crazy like 5 or so serves of grains per day, which is 2 slices of bread X 5 ....... 10 slices of bloody bread a DAY. Just plain nuts.

[@colvideos1]

@@mikebrigandi_ You're actually thinking it's still 1980. Research now all says it's carbs that cause LDL and triglycerides to rise. Update your knowledge.

[@mikebrigandi_]

@@colvideos1 okay then give me the peer reviewed research that shows carbs cause heart disease

[@jiriwiesner]

Considering that you are a member of the medical profession, what a rebellious video! :-) Very thought provoking. Thank you.

[@DanEngell]

Last week my triglycerides were 69 and my HDL was 76. My LDL was 129. I'm very happy with my blood work and of course my doctor wants me to take a statin. 🙂 I had metabolic syndrome for almost 20 years before I went keto and low carb.

[@jenniferlee7167]

Just say NO!--From a former nurse.

[@TB1M1]

You need to calculate your TC/HDL ratio and measure your blood pressure.

[@oolala53]

Isn't keto necessarily low carb? or do you mean you started with keto and then moved to low carb?

[@Philippinesbound42]

Get a new doctor. Those are great names

[@donkey3187]

more important is your ldl size

[@robertpinto6515]

LDL Is NOT Cholestrol! Nobody should be given Statins! NEVER!!!!!!!!

[@suzanneemerson2625]

*Cholesterol

[@S0_Rhyn]

@@suzanneemerson2625 *cocklesterol 😂

[@kubenmoodliar477]

@@robertpinto6515 I am on a statin and it is robbing me of my Quality of life. I have aches and pains plus my muscles are getting weak and stringy. I am sick of how easily doctors prescribe harsh medication. I am not qualified to treat myself after having a heart attack.

[@seashells616]

My total cholesterol is always over the "magical" 200. (216 was my last). My GP, though I love her, is ALWAYS trying to push a statin on me, even though my triglycerides are always well below 150 and my HDL is always in the 60-80 range. This information is so helpful and didn't know the triglyceride/small LDL relationship until watching your video.

[@anthonybruno8965]

You're at risk for CVD. Don't buy into this bs. The only diet ever proven to prevent and reverse heart disease is a low fat, wholefood plant based diet.

[@11kwright]

This is one of the best holistically explained if not the best video on KZbin. Thank you for saving lives and simplifying everything one needs to use in their everyday lives and make informed decisions about one’s health.

[@richardmalone3172]

I have slightly high cholesterol. My regular doc and I have agreed I will not use statins. When he was unavailable one day, another doc wrote me a script for statins which I politely refused and explained my position. She became annoyed and proceeded to lecture me. I again politely refused. She continued to the point where she became more than annoyed and I was feeling harassed by her. I maintained my composure and again politely refused. When I eventually escaped and went to reception to pay, she had charged me for a long consult. After a discussion with the manager it was agreed that I wouldn’t pay the higher amount. My question is, what is it that drives a doctor to the point that they become so upset and plain nasty especially when they aren’t my usual doctor. Kickbacks?

[@dacisky]

Brain washing?

[@tonyk8369]

God complex.

[@KH-rt3ef]

This is disturbingly common. There are good doctors, and bad doctors whom are bad for various reasons ranging from not listening to expecting total authority. The former focuses on people’s needs, the latter is so engrossed with books they forget they’re treating a human being. Bad doctors are too convinced they’ve seen the future and know more than they possibly can.

[@ReluctantTool1]

AKA Dr God complex. Most suffer from it.

[@asifshuja8638]

@@richardmalone3172 First place, you went to consult Dr. She was not your enemy, trying to convince you for your welfare..... Right. Then why dont you accept what you'been told to do so. Never be stubborn in life. Be flexible, responsive to good. ...Good luck Man

[@jammin6816]

This is by far the best and most accurate summary I’ve ever seen. Extremely well done! 👏

[@agovernale]

On my third cardiologist, yup excellent cholesterol but LDL 103! Put my on statin and after four cortisone shots in biceps, brain fog and lethargy, I stopped them. I am healthy weight, eat a heart healthy diet, and exercise. Done with statins.

[@stevewhalen6973]

Thanks! This is the most complete and accurate explanation of heart disease prediction I've ever seen. It covers all significant aspects of metabolic and blood lipid health and also the important numbers we need to look for when getting blood work testing. It also covered very completely the best options for prevention particularly lifestyle diet and exercise.Thank You so much 👍.

[@nneichan9353]

thank you for this. I flat out refused statins because they make me feel so bad. I eat a ton of vegetables, and I do my best to avoid processed foods, but I do fail a little on bread, but keep it low as possible. when I worked ER I met many people coming in who felt awful after starting statins. I know it is skewed as people who didn't have difficulty with the medicine wouldn't come in to ER, but it made me think hard about how often medicines are pushed for reasons other than patient health.

[@koreyb]

Fish, especially salmon with the skin, sardines with the skin, and mackerel with the skin on can help a lot to get your numbers where they need to be. My Mom was in the danger zone and she went low carb and then started eating those fish on a daily basis and now her numbers are back down to where they needed to be.

[@DoctorMikeHansen]

Glad you mostly eat unprocessed foods. It's ok to stray here and there...I love bread too haha. Lifestyle (nutrition, exercise, not smoking) is way more helpful than statins.

[@richardf911]

Freeze your bread overnight and thaw it out. It will become much healthier. Toasting helps too. Resistant starch.

[@mostlyright5384]

I just guzzle soda, eat well and workout.

[@orosco97]

@@richardf911 Can you explain this further? I'm very curious!

[@richardchall9245]

I agree, my LDL was high and was put on a statin. Now I am doing IF and keto and stopped my statin.

[@libbycollins9349]

I’d love to have the citations to the follow up study to show my doctor! Thanks for your excellent information.

[@CommonSenses101]

This Dr. Is so darn good. Hope more medical doctors have the same expertise like him.

[@Notme-tq4xs]

sadly, no.

[@bobl1769]

I can’t speak for everyone but exercising more and limiting the intake of simple carbs and alcohol has helped me. I’ve tried a bunch of statins but stopped taking them as they affected my balance, caused nausea and gave me horrible leg craps. So, I’m glad to hear they are not as essential as advertised. Thanks!

[@danielled5883]

This is so helpful! I fall into the exact scenario you mentioned. My LDL is "very high", but under 190, and my TG and HDL are normal. I had a plaque scan just for peace of mind, and there was 0 plaque. Thank you so much!!

[@DoctorMikeHansen]

Great to hear this, thanks for sharing Danielle!

[@jaye282]

How much is a plaque scan?

[@azarazar007]

🎯 Key Takeaways for quick navigation: 00:00 📚 The Role of LDL Cholesterol 03:59 💡 The Two Types of LDL Cholesterol 05:53 💊 The Impact of Statins and Other Drugs 08:13 🍔 Nutrition and Heart Health 11:12 🚫 Avoiding Trans Fats and Inflammation Made with HARPA AI

[@crand20033]

It's sugar and processed wheat. It's insulin resistance.

[@Funkydood]

Haaahaaaa!!! Great sense of humor, dude!!!

[@mermer58]

I went on an extremely low fat diet in the early 90's. It destroyed my lipid profile. Triglycerides jumped to 145. Now I've been on a statin for 20 years and no one ever mentioned K2 or Quercetin to protect the heart muscle. 🤬

[@markdavid4897]

The best way to protect your heart is stop taking Statins, and go to a high fat diet, using animal fats like butter, beef fat and pork fat. Do not use vegetable oils. Vegetable oils (seed oils) destroy you from the inside out. The US Govt has been lying to all of us about "dangerous" animal fats for a century now. It is the vegetable oils that are the real problem.

[@tenzindolma6266]

When taking statins, you need Coenzyme Q10 first of all and before all others you have mentioned. Please read about how statins deplete Q10 in the body ( it anyway decreases when getting older and have to take it not related to statins ) and how Q10 is the enzyme providing best energy for the body cells but preferentially for the heart muscle cells ! Q10 is the heart's best food in general.

[@JoshJorg44]

That's because sugar is the culprit. Triglycerides are formed as a byproduct of the liver processing sugar.

[@Anna-ww4pv]

Early 90’s low fat high carb was healthy. Things have changed.

[@thomasking9221]

Thus is what my cardiologist told me after treating a clot and mild heart attack as a result 6 years ago. I have been on these medications ever since.

[@kathryncainmadsen5850]

HELP! I was substitute teaching in a school this week and had lunch duty. The situation is MUCH WORSE than it was even in twinky times. The school lunch was ALL processed foods and the food in kids lunch boxes was ALL processed food at ALL the tables I checked. ONE kid had brought spaghetti and meatballs in a thermos alongside his chips and processed peanut butter cracker sandwiches. These kids were ALL 1st and 2nd graders!!!!

[@JamminClemmons]

Tell those kid's parents to *PACK THEIR KIDS OWN LUNCHES!!* Do *NOT* rely on the school system to keep children healthy! Come on.................

[@josephshields2922]

I school I subbed at actually had a Mac Donald's as their caterer .

[@JamminClemmons]

@@josephshields2922 - Go Burger King! Imma gonna slappa you!!!!!!!!!!!!!!!!!!

[@kathryncainmadsen5850]

@@JamminClemmons This included kids packed lunches. ALL processed food in their lunchboxes.

[@marymotherofgod4861]

That’s poison 😮

[@dacisky]

I wish every Dr in the world would be forced to watch this 100 times.

[@YouTuber-ep5xx]

It may take 1,000 times. And some torture.

[@alphaomega1351]

That's doctor abuse!!! 😶

[@richardf911]

@@alphaomega1351 More like de-programming. Doctors are taught by the drug companies. Taught to prescribe drugs for everything and eschew the body's own ability to heal given appropriate nutrients.

[@Mrs.TJTaylor]

I wish doctors would believe their own eyes and ears!

[@robgifford4293]

Why do you trust this doctor over the majority of doctors and researchers? I think it's an interesting video, but just curious.

[@deone2u]

Despite increased HDL and decreased Triglycerides... My doctor wanted to prescribe statin just because of slight increase in LDL to 88 mg/dL and total cholesterol, I said NOOO without second thought! Anyway I've lost 10kg of weight and on intermittent fasting 16/8, avoiding processed food, focusing on whole food with low carb, high protein and good fats :)

[@Mindy-s-channel]

I think cigarette smoking is the biggest risk.

[@Dee-mi7ct]

Thank you for separating two types of cholesterol. This video is wonderful.

[@swervedriver5260]

Gave you a like doc. There are cultures around the world who consume a lot of fat in their diets. The Eskimo 65% fat in their diet nominal heart disease. Despite the medical industrial complex best efforts US heart disease ranks worst among First world nations. Thanks for being candid about the politics in healthcare! 👍

[@paulbrungardt9823]

Thank you for your work. I learn more from y'all than I do from my cardiologist.

[@DoctorMikeHansen]

Glad to help

[@johnkennedy1242]

yep. Worked in cardiology over 20 years and he is absolutely correct. Problem is, every patient believes they know more than him yet can't seem to fix their problem. The idea doesn't occur to them, that if what they are doing isn't working, they should stop doing it.

[@Alex-Defatte]

What subspecialty did you work over 20 years?

[@dandansfu]

While that is definitely problem of many customers/patients and not just in medial industry But in a way you can’t blame them because there are so many information and there were a time dr would recommend no fat at all good or bad fat Then we all know many dr who can’t really speak their minds or have pressure to sell depending depending on where you do ur practices Then because of the Under massive funding Dr don’t have the time or patience which can also give out a vibe that make patients don’t want to trust Yes health care isn’t a service industry but it’s human nature to trust frds/ family or Drs that may be nicer even if they r doing it to get more money out of you Then even drs among themselves also have different opinions on same topic It’s just a very complicated issue especially you thrown in Death/money into it

[@Alex-Defatte]

@@dandansfu Money changes everything

[@dandansfu]

@@Alex-Defatte yes and not saying DR care about money But hospital Executives Government Insurance and pharmaceutical companies do

[@Alex-Defatte]

@@dandansfu Sadly agreed.

[@oolala53]

Now I know how my high school students felt when we would read essays with long intros. Took nearly 5 minutes to get to target info that it's type B LDL, a small particle. To be fair, I've been listening to this kind of video for a few days. guess I need to go on a video diet.

[@Jek2457]

The rabbit hole.

[@artsie8282]

Seriously. In business you start all presentations with ‘takeaways’. I am not listening to this long winded guy. Outta here

[@JESS-CH]

The most accurate video on cardiovascular disease I've ever watched. Thanks for taking the time Doc. 🙏🏾

[@jeffsilverberg5848]

My LDL is at 150 and my cardiologist wanted me to go on a Statin. I declined. Thank you.

[@mikecoursey]

When I was doing my exit physical from the Navy the doctor gave me a prescription for Zocor saying that when I left the Navy my activity level and diet were definitely going to be much worse after I left. My response was, "Really? We aren't even going to discuss lifestyle changes at all?" When he handed me the prescription I immediately threw it in the trash. Probably one of the smartest things I've ever done.

[@Anna-ww4pv]

I’m proud of you! Many people are offended if, you suggest a healthy life style.

[@paulcarlson4230]

What about if you have plaque already?

[@laurelmartone73]

FINALLY! A mainstream doctor who hasn’t been cancelled talking about this!! I have been trying to explain this to friends and family for at least a few years now! I agree with most of what you are saying, Dr. Hansen. But, people who do very low carb/keto/high fat carnivore will sometimes get very high LDL but probably don’t need a statin because their triglyceride:HDL ratio will be excellent or even < 1. Thank goodness that my current physician either understood the concepts discussed in this video..or he knew that I wouldn’t take a statin based on TC 232, LDL 152, HDL 80, & Triglycerides 58. My other disagreement with you, is that saturated fat from well-raised ruminants is healthy..not unhealthy as you assert in your saturated fat video. But otherwise, thank you for this video! I will definitely be sharing it!

[@DoctorMikeHansen]

Thank you Laurel

[@ioniatco]

Thank you for this personal info Laurel!

[@SimonHealthAction]

Don't guess. Don't presume. Take a coronary artery calcium (CAC) test. All LDL particles

[@laurelmartone73]

@@SimonHealthAction thanks for your concern, but I’m not particularly worried. Having said that, I am up for getting a CAC, IF a doctor will prescribe it. But again, not really worried.

[@TB1M1]

Fat regulation is dependent on genetics and thats a bell curve, but a straight line relationship exists for fat , heart disease, hypertension, breast cancer, prostate cancer. It is irrefutable and there is over a century of data to support this. Japanese cancer and heart disease data shows this clearly.

[@douglasx6915]

The leading risk factor for CVD is high fasting insulin and poor blood glucose control. The Trig/HDL ratio is very powerful.

[@DoctorMikeHansen]

Thanks Douglas

[@gloriamaryhaywood2217]

Agree entirely. My lastest HDL is 70 and my Trig level measured 47. My LDL was 112. My PCP expressed concern over my LDL number? However, I am not worried a bit. I practice Keto and almost always do intermittent fasting every day!😉

[@Melody-285]

@douglasx How do you determine your trig/Hal level ? I just had labs done & all I see as far as ratios is chol/hdlc & mine is 3 - my trigs are 71, hdl 69, ldl 120 and total is 206 - that’s all the info I got - wish I would’ve watched this video earlier - I just went to my PCP today - would’ve had more questions for him - I wonder how you determine is your ldl’s are A or B

[@johnsamsungs7570]

Nothing new here but I still take my Statin as my individual risk was high probably from a combination of lifestyle and genetics. Yes, on a mass basis, statins are overprescribed and are a waste of money to the health system. But on an individual basis, I'm more than likely the very small percentage of the population that it helps. Mass breast cancer screening is on a society-wide basis a less productive way to spend the health dollar. But to the individuals it saves, it is worth every cent spent! People need to be more involved with their healthcare.

[@petervanrun4626]

young,sharp n honest, is veery powerful imo

[@charmainestevens5614]

A great video. Very important information in a nutshell. I am familiar with this material from previous medical-oriented low-carb websites I have visited over the past 4 years. I have my pre-diabetes under control with a low-carb diet, unprocessed foods, and intermittent fasting. I wish my doctor would become familiar with the current literature. Recently, I had my bloodwork done and by my own calculations of my TG:HDL ratio and LDL Hazard ratio, my results were excellent. But my doctor ordered me to be on a statin based on a cholesterol level considered high according to the lab guidelines issued by the government. I have refused. She is very concerned but when I asked her questions, she had never heard of large buoyant LDL or small, dense LDL particles. She is a wonderful person and very caring, but our healthcare system is overwhelmed.

[@flagmichael]

Believe it or not, you got through my thick 70 year old head with this one! I vow to improve my diet (there is a _lot_ of room for improvement) and to pay attention to triglycerides. My doctors have been telling me to do that but none adequately explained why. I will also add fish oil capsules to my daily vitamins; can't hurt, might help. I would add one thing, though: my nomination for the most important factor in reducing heart attack deaths. (Drum roll)... know what heart attack symptoms are and commit yourself _now_ to getting to an ER if any of them appear. Everybody I have known who had a heart attack when I was there said, "I don't feel good." When it comes from a middle age person I ask, "what kind of 'don't feel good'?" Several times I have had to point out those are cardiac symptoms and really should be checked out soonest. Nobody did until our manager got involved; one had bypass surgery later that day. I have promised my wife I will not ignore cardiac symptoms and I had to honor that promise once. Fortunately, the near faint, the lump under my sternum when I was out of the faint, and especially the sudden unexplained fatigue made me bum a ride to the ER from my friend. It was ultimately narrowed down to an anxiety attack with attendant esophageal spasm. I'm not sorry I did it.

[@k8eekatt]

Sardines are probably going to be a cheaper and more nutritious way to get your fish oil. Costco sells them in tins and they're pretty good. You can put them on top of a big pile of dark, leafy greens with a few walnuts.

[@pinkrose8845]

Thanks for the valuable tip.😊

[@flagmichael]

@@k8eekatt I can't stand sardines, though. The rest of the stuff sounds good but not sardines.

[@k8eekatt]

@@flagmichael I'm glad you are listening to your body to find what's right for you.

[@DoctorMikeHansen]

thank you! glad I had that kind of impact! all the best to you

[@justrusty]

I cut processed foods out of my diet and reduced by Trigs/HDL ratio from 7.45 at age 59 to 1.47 at age 64.

[@martinrea8548]

Good for you. Whole foods are the way to go, as close to their natural state as possible. 👍

[@Melody-285]

@justrusty - I just had bloodwork done & the only ratio I see on it is chol/hdlc and mine is 3 - is this what you’re referring to or is there another one that I just didn’t get - my LDL is 120 - wondering how I find out if they are A or B

[@justrusty]

@@Melody-285 The chol/hdl ratio is not the same one as I am talking about - that one is total cholesterol/hdl. Trigs/HDL is more meaningful. Usually you have to calculate it yourself from the other values in the report.

[@Melody-285]

@@justrusty Thanks so much for replying - if it’s not too much trouble, can you tell me how to calculate it ? I just had labs done & was at the dr. today - I wish I’d known about all this yesterday - lol - I have all the numbers if it’s not too difficult for you to tell me how to do it - I’ve heard of advanced lipid panels - I wonder if that’s what you would need to find out if your LDL is A or B - I tell you, I have learned so much from KZbin - info I actually feel I can trust - I’ve had to care for several family members & I’ve learned you have to be knowledgeable & proactive about your health - and I’m in Florida, so everyone’s old & the doctors are really busy - lol - the PA at one of my doctors asked me if I was a nurse - ha ! No, I just watch a lot of KZbin 😂

[@justrusty]

@@Melody-285 It's pretty straightforward calculation if your lipid panel has triglycerides reported. Just divide Triglycerides by HDL. A good ratio is 2.0 or less. The Pattern A vs. Pattern B test is called an LDL fractionation test, though it goes by other names also.

[@MikeStabler]

At 10:19 he says if total LDL is less than 70, the fraction of small dense LDL is so low it is unlikely to cause harm. My total LDL is 68 because of my low-fat diet and daily statin. Good!

[@robertstanton1668]

A nurse practitioner in my cardiologist's office tried to talk me into taking a statin. She didn't have any response when i told her that they do not reduce all cause mortality and that almost everyone who takes them has side effects.

[@meagiesmuse2334]

Very good info, thanks. When I was fighting Lyme disease my LDL went up to 272 for quite awhile. I studied Naturopathy, and was taught that LDL carries endotoxins out of the bloodstream so that having this happen was normal with active Lyme. Sure enough, it went down to 130 after treatment. I was told that I had 60% small LDL , which is awful, but that was before I switched from a low-fat lacto-vegetarian diet to the Paleo Diet. Also, low HDL runs on one side of my family, and despite daily exercise, it was stuck at 29, until my doctor suggested I eat 21 soaked almonds every day. That got it up to 56, not wonderful, but much better, and has kept it there for years.

[@johnbecich9540]

Your comments are very interesting, but not fully comprehensible to me, an engineer... not a medical professional. Did you err in complaining about "60% small LDL, which is awful"? Dr. Hansen said small LDL is bad and a low number should be good. However, you seem to rectify in your description of your HDL number. That you could raise your HDL with almonds is remarkable; I thought only exercise could do that.

[@meagiesmuse2334]

@@johnbecich9540 - My GI doctor told me about the almonds since they fixed his low HDL and it also worked for me. Exercise did not lower HDL for me, no matter how vigorous and I was up to 2 hours of that daily. Almonds may not help everyone, but it's worth a try. HDL compared to triglycerides is the most important comparison. I had 60% small LDL plus 40% large LDL, that is correct. Heart attacks run on one side of my family.

[@daffidavit]

I remember Dr. Castilini (sp?) of the Framingham study saying over 30 years ago that it was the very small hard dense particles that were the most damaging.

[@Dan1978]

One of the best explanations on this complex topic. I wish Dr. Mike talked about the number of particles and using ApoE as an additional biomarker. I would love to get this into the picture. Very nicely done.

[@lisamaurizi4274]

What a wonderful video. I can not take statins due to brain fog and severe muscle pain. The doctor tells me I'm going to die then. But I prefer quality or quantity of life.

[@christinashawgo6510]

This is the best explanation I’ve ever heard from someone. Overtime I have learned all of these things. But you have put them in one video. This is a teaching video! I’m saving it to share.

[@HeyMJ.]

Thank you for providing the math behind determining risk factors. And, the info re smoking points in ‘good’ cooking oils/fats! 👍🏼

[@alreadythen1]

The atorvastatin made my feet unbearable so I stopped taking it and did intermittent fasting and did Mediterranean diet, and walked 1.5 miles a day and now my feet doesn’t have any pain.

[@staceykersting705]

Get rid of sugars and grains. Watch out for processed foods. A low carb diet will keep u on the right track. Also, do some fasting, even if u start at just 12-14 hrs (overnight). Now my 'normal' eating times fall btwn 11am and around 2-3 pm. I switch it up to a later schedule for social events, which usually means weekends, and fast 24 hrs once a week most weeks

[@doddsalfa]

B.

[@kyxxit3664]

I've had great success with this

[@jaysilva5854]

Don't forget magnesium and reduce stress.

[@zerozero9085]

I have Familial Hypercholesterolemia, ranging 350ish since teens. High HDL, low LDL, low trig's, low body weight, BP, and blood sugar. Medical professionals are always trying to push a statin RX on me. No thanks.

[@purplerhodes]

Thank you for talking about the "elephant in the room" towards the end of the video - industrually produced seed oils, in all our ultra-processed "food" (if you can call it that), oxidation and inflammation caused by them. There are many different "diets" that improve health a lot, reducing metabolic syndrome, from carnivore to vegetarian, but the common factor amongst all of them is eliminating ultra-processed edible material.

[@danielconner5476]

Nice and clear explanation of understanding modern day lipid panel information. You did forget to mention though, Lp(a) or lipoprotein a. Lots of people don’t get tested for this genetic cholesterol but it’s a real concern to have.

[@jgage2840]

I agree, I wish he would have discussed lp(a) too, especially around plaque formation.

[@DarleneRuiz08]

Great video. I do wish you would have touched on Lp(a) as well. I really think more people need to be aware that this genetic risk factor exists and is NOT part of a normal blood panel. You have to ask for an advanced lipid panel to show LDL particle size and Lp(a) number.

[@michaelhimes8778]

Yes, all the cutting edge cardiology is measuring these… unfortunately I have high Lp(a)

[@lloydhlavac6807]

Yes, for cholesterol you want to get a the NMR (nuclear magnetic resonance) test, which shows particle size and number. Small particle LDL is the one that is dangerous.

[@integrityshines561]

@@michaelhimes8778 my LPa is also very high. Thinking to start niacin and baby aspirin

[@DoctorMikeHansen]

thanks for sharing Darlene. I thought about it going over Lp(a) but figured maybe for another video.

[@elizabetharka]

Yes I agree- I had a tiny CVA no risk factors + LDL(a) was elevated. I need more education about this-

[@leeretaschen231]

My last bloodwork showed LDL @ 176 and a Total Chol of 259. My primary doctor expressed concern and started talking about putting in a statin. But HDL was @ 68, TG @ 75, and TG:HDL @ 1.1.

[@affecttheeffect]

I have an LDL-C of 105 even though the only foods I eat are vegetables, wild caught salmon, scallops, egg whites, berries and ground flaxseed. My triglycerides are 83 and my triglyceride/HDL ratio is 1.5. I have less than the lowest detectable level of inflammation as measured by the HS-CRP blood test (

[@Lombardi54]

Thank you for the lesson doctor. I came here because I had Hypertension yesterday. I mainly commented because I think your hand sketches are entertaining and extremely informative. I immediately understood what was good and bad, which was mainly dense LDL and Triglyceride. I now understand the need to cut back on processed foods and sugar more than before whereas I before thought that eating meat would do equal damage. I now know better.

[@Alecmcq]

Doctors have told me to be on a statin every time I get a blood test. Every time I say no. It is a con.

[@Crystalquartz964]

My (narcissistic) mother has always rescued cats, she loved them all but would say things to the cats such as, "You're a nasty little beast today" (which she used to say to me!) or "Rude cat!" She now has late stage dementia, I bought her a toy "dementia cat" which is a very realistic Siamese. My mother adores it and says wonderful things to it. It gives her enormous comfort and happiness.

[@CB-wq9wp]

Did I miss something? I'm confused about what this post has to do with topic of the video.

[@Mmm...yummymummy]

​@@CB-wq9wp. Interesting family dynamic tho 😊

[@cccalifornia7206]

Excellent teaching lesson!!!👍😃 Thank you💖💪

[@jeffsilverberg5848]

I do not smoke or drink and eat well. No sugar and no carbs. Ginger Tumeric, and Garlic. Coffee twice a day and avocados and sardines.

[@keywestfan2503]

Also with Framingham, the correlation with MI and LDL went away with increased HDL and decreased triglycerides

[@qlewkr2]

Wow. My triglycerides are at 149 and my hdl is at 50. I’m going on a plant based diet. Thanks for this info, Dr. Mike. My own doctor just said, “No medication needed, yet.”

[@chestrockwell8328]

That would be a mistake. but go for it.

[@mikepeek5655]

Plant based is not the way. Follow Dr Ken berry, Dr Berg, Dr Ekberg, Dr Schmidt. It's the proceseed trans fats that's killing people. Bad oils , grains like anything with flour . Good luck

[@melissabrock4114]

Don't listen to them, plant based diets are much more associated with longevity- when executed correctly.

[@MrSummerbreeze01]

@@melissabrock4114 Yeah like Steve Jobs

[@melissabrock4114]

@@MrSummerbreeze01 ahhh you must study nutrition at an academic level LMAO. Can you read? I said if executed properly. Steve Jobs was a fruitarian. But look at the populations around the world where people live the longest and check out what they eat.

[@rogers6168]

Thank you for clearly explaining the topics you covered. Recently had my blood panels done & to have a thorough explanation helps big time. Thanks!

[@azabujuban-hito8085]

I experienced short term memory loss on statin !

[@dan32one44]

Agree had heart transplant 18 years ago doctors pushing statin on me to this day they keep telling me think about it…I said no 😊

[@lseh4720]

You’re an incredible professor. Thank you.

[@schoolsgirl]

Dr Mike, Can you do a video on Niacin? I had to stop taking statins because they crippled me. Took months to get those awful chemicals out of my system. Been taking Flushing Niacin for years. Started really low (1/4 tab) adding 1/4 incrementally. I am now up to my desired total of 2,000 (4 X 500) per day. My doctor loves my test results & told me "Whatever you are doing, keep doing it. Its working"

[@grantlawrence611]

Wow

[@francoisperez4046]

B careful liver damage

[@grantlawrence611]

@@francoisperez4046 from my understanding the liver damage isn't much of a possibility unless taking well above 1500 so I think 2000 still in the safe range but everybody is different and I assume Dr does blood work

[@grantlawrence611]

Just wondering what was your doctor happy with as the result of the niacin.

[@francoisperez4046]

@@grantlawrence611 liver damage start at 500 and insulin resistance with risk of diabetes, I work in pharmaceutical so I know this for a fact please check with your doc liver enzymes and glycemia every 3 months

[@vinessacampbell3337]

Thank you! Both parents died of heart attacks. I only eat fish. No meat the past 15 yrs. Yet my cholesterol was apparently slightly high. Great information .

[@bradhudson159]

What is fish? A plant?

[@Richard.Atkinson]

Why on earth would you avoid meat, which has nothing to do with causing heart attacks? Processed food is what causes it, not meat.

[@saliksayyar9793]

Old data about large and small LDL particles. That is why measure APOB to cover all atherogenic particles. It takes 30 years of exposure of endothelial cells to APOB particles to produce symptomatic ACVD.

[@dannyspitzer1267]

Correct

[@julieseattle]

This is a great public health message. The really cute and wacky pictures kept me interested and helped me learn. Thank you!❤

[@creativesolutionstoart]

Yes! “High cholesterol“ is a response to inflammation in the body and most people don’t know that… And also triglycerides, or misunderstood… Because MCT oil, medium chain triglycerides, are helpful… A lot of people would think anything with the word triglyceride is not good… That was the only thing you didn’t clarify in this video but otherwise you nailed it! so much good information here that everyone really needs to understand better. Thank you!

[@HH-hb9uy]

I had elivated triglyc values but I eat a spoon of mct every day, are u saying the mct oil increase this value on blood work?

[@creativesolutionstoart]

@@HH-hb9uy No not exactly… I was just mentioning that I was wanting him to clarify in the video that medium chain triglycerides are different than the triglycerides measured in blood work.… So people would not misunderstand that and think that MCT oil was unhealthy. As far as I know, MCT oil is extremely healthy especially for the brain.

[@wread1982]

Let’s see the science to your claims

[@creativesolutionstoart]

@@wread1982 claims? There’s plenty of information on MCT oil if you just look it up… And I haven’t seen the creator of this video respond yet to my original question about triglycerides…

[@justinberber9848]

The best test for insulin resistance or metabolic syndrome (and a good proxy of your lipid profile) is fasting insulin.

[@valeriesmith477]

Yes. My current doctor ❤ wants me to take statins...but I did my own research years ago after I had BAD muscle pain due to taking a statin. No more statins for me! I am 75 years old and healthier than I was in my 50s..even with t2 diabetes..keto diet has helped me keep weight down too.

[@ale189251]

A heart attack dont come from eating fat, well maybe seed oils. It takes probably over 20 years to develop ischaemia. And it mainly comes from inflammation. Eating to frequent, too much. Certain inflammatory foods. Chemicals, pesticides, injections, medication. etc.

[@thebrocheckclub1777]

No mention here at all of the importance of healing and supporting the endothelial? The most important aspect of halting and even reversing heart disease. We still have a long way to go when going over the same story of what the lipids are showing us but neglecting the critical importance of repair and replacement of the endothelial for creating Nitric Oxide to increase vassal dilation.

[@rbrewmitch9351]

I had two of my doctors tell me I must immediately go on a statin after a recent blood work up. For 10 months previously I ate no sugar little or no carbs. I ate eggs, bacon, beef and black coffee, one cup in the morning. I practiced intermittent fasting using a four hour window for 2 meals thus fasting for 20 hours. I lost 35 pounds. My triglycerides dropped from 182 to 79. My HDL went up from 47 to 51. My LDL rose from 129 to 182. My A1C went from 5.8 to down to 5.5. I got healthier! But all they could see was that my LDL was higher. Yeah, I was eating eggs and bacon! I hadn't been able to lose weight on any diet except this one. It isn't the fat, it's the sugar. By the way 15 years ago my calcium score was 3.79. My cholesterol has been high since I was 23. I'm 72 now. I don't feel I'm at risk for a heart attack especially since I lost weight and lowered my A1C. Am I wrong?

[@lenguyenngoc479]

scan your heart when it's simple losing some excess weight is nice but is it a good maker? cancer patients lose weight very fast, heroin addicts also lose weight extremely fast u ain't healthy if u have plaques in your heart veins

[@nancyinthegarden3160]

Losing weight is not associated with heart attacks. Your diet should be balanced. The fat I. The diet contributes to vascular risks bc of the artery logging with too much saturated fat. Eat more chicken instead of bacon beef and high fat oils

[@titanattackbee1985]

dont risk your life on psudoscience man just listen to your doctors

[@gloriamaryhaywood2217]

You are Fine. Just keep doing LOW carb and NO Sugar. 😎

[@chriswright6447]

Could it have anything to do with a needle with experimental juice?

[@brianmurray1395]

Absolutely 💯

[@bobmester3475]

Excellent video Dr Hanson! Thank you for all the info and tips!

[@michelletulumello661]

Statins also raise your blood sugar, which contributes to metabolic syndrome.

[@tenniskinsella7768]

I eat healthy but my bad colestral is terrible but my heart is perfect

[@allyfrasier6306]

👌 Fantastic video. Thank you so much for explaining things so clearly. This has been really helpful.

[@DoctorMikeHansen]

Glad it was helpful!