heart disease prevention

Todays Snacksize Doctor’s Kitchen podcast is all about preventing heart disease using medications vs stents.

On the full episode we talk more about the impact of diet, meditation and other lifestyle measures but this snippet on episode 30 where I speak with Consultant Dr Zarrin Shaikh, illustrates the point that it’s not always the more aggressive procedures (like stenting) that yield the best outcomes. 

Sometimes medications can be just as, if not more effective, and lifestyle medicine should also be part of that care package. I highly recommend you listen to episode 30 for the full discussion, as well as my solo episode 202 on dietary changes to lower your cholesterol.

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Heart disease is the world's leading cause of death. For years, the diet-heart hypothesis, which centers on high cholesterol as the primary culprit, has dominated the medical discourse. But now, we're beginning to appreciate the complexity and nuance of how the outer workings of our environment influence the inner workings of our physiology and risk for heart disease.

In today’s episode of a new series I’m calling Know Your Numbers, I deep dive into the Functional Medicine approach to assessing cardiovascular risk and why this is key to preventing and, in some cases, reversing cardiovascular disease.

You can test your cardiovascular risk with Function Health, a company I co-founded. It has been a lifelong dream for me. Function is the first-ever membership that includes 100+ lab tests and personalized insights from globally renowned doctors based on your results. Join Function at FunctionHealth.com.

This episode is brought to you by AG1, Sweetgreen, and OPEN.

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Here are more details from the episode (audio version / Apple Subscriber version):

• Prevalence of cardiovascular disease and heart attacks (9:38 / 8:08)
• Why conventional medicine misses the mark in assessing and treating cardiovascular disease risk and “high” cholesterol (10:50 / 9:20)
• The testing you should be getting to assess cardiovascular risk (28:23 / 26:53)
• The major root causes of heart disease (46:38 / 44:10)
• Cholesterol: What is it and how is it related to heart disease? (47:20 / 44:52)
• Insulin resistance and heart disease (55:09 / 52:50)
• Total cholesterol, triglycerides, HDL, LDL cholesterol, and other relevant biomarkers (58:12 / 55:44)
• Root causes of suboptimal biomarkers (1:28:05 / 1:25:37)
• Additional diagnostic testing (1:31:04 / 1:28:36)
• Diet, lifestyle, and supplements for reducing cardiovascular risk (1:37:30 / 1:35:02)

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In this “Ask Me Anything” (AMA) episode, the conversation focuses on cancer screening, a topic often shrouded in confusion yet crucial to understand given that early identification of a cancer is an essential part of survival strategy. Peter examines the arguments both for and against cancer screening, including addressing why some trials may show no benefit to screening. He then delves into the various screening modalities available for different cancers, highlights the pros and cons associated with each, and explains how to interpret the results. Additionally, Peter provides guidance for navigating outside of the relatively narrow and confined screening guidelines for various types of screening tests.

If you’re not a subscriber and are listening on a podcast player, you’ll only be able to hear a preview of the AMA. If you’re a subscriber, you can now listen to this full episode on your private RSS feed or our website at the AMA #56 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here.

We discuss:

• Why understanding cancer screening is crucial [2:45];
• The prevalence of cancer diagnosis and mortality rates [4:30];
• Why cancer screening and early detection is such an important part of the strategy to survive a cancer diagnosis [11:00];
• Data on how cancer screening impacts survivability of cancer [16:30];
• Inconsistencies between cancer screening trials regarding benefits to survival rates [25:45];
• What are some of the reasons why clinical trials don’t always improve cancer-specific mortality? [30:15];
• What are the arguments against population-level cancer screening? [42:00];
• Cancer screening outside the recommended guidelines: risks and benefits, interpreting results, and other considerations [46:00];
• Understanding sensitivity and specificity when reviewing screening results [52:30];
• Risks and complications associated with colonoscopies [55:45];
• Cancer screening modalities: options for cancer screening both within standard recommendations and beyond [58:30];
• The strengths and limitations of various types of cancer screening [1:02:15];
• Understanding positive and negative predictive value using sensitivity, specificity, and pretest probability [1:11:45];
• Factors that influence an individual's pretest probability of cancer [1:13:45];
• How to interpret cancer screening results [1:18:15];
• The importance of having an advocate when considering out-of-guideline cancer screening tests [1:23:30];
• How stacking multiple cancer screening modalities can decrease the risk of false positives [1:29:30];
• Advice and guidance for making decisions related to cancer screening [1:31:15]; and
• More.

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Heart disease is among the top five causes of death globally, and it’s the first in the United States and United Kingdom. In the U.S., it causes 1 in 5 deaths.

But what is heart disease, exactly? Can we take steps to avoid it? Prof. Eric Rimm, of the Harvard T.H. Chan School of Public Health, is here to enlighten us. 

In today’s episode of ZOE Science & Nutrition, Jonathan and Eric explore what we can do to reduce our chances of getting heart disease. 

If you want to uncover the right foods for your body, head to zoe.com/podcast, and get 10% off your personalized nutrition program.

Follow ZOE on Instagram. 

Timecodes:

00:15 - Intro

01:07 - Quick fire questions

02:10 - Biggest myth about Heart Disease

03:2 6 - What is Heart Disease?

08:03 - What is a stroke?

10:29 - What are the differences in Heart Disease symptoms between men and women?

12:51 - Did you know that…

14:24 - The multi-decade diet study

21:24 - The 4 ways to lower chances Heart Disease

28:16 - Weight and Heart Disease

32:09 - What can you do to reduce Heart Disease risk?

34:30 - Exercise and Heart Disease risk

37:11 - Body Weight and Heart Disease risk

38:01 - Diet and Heart Disease risk

41:06 - Sleep and Heart Disease risk

46:18 - What is the cutting edge research in Heart Disease?

49:35 - Summary

53:18 -  Conclusion

Mentioned in today’s episode: 

• Optimal dietary patterns for prevention of chronic disease from Nature Medicine
• Frequency, type, and volume of leisure-time physical activity and risk of coronary heart disease in young women from Circulation
• Diet, lifestyle, biomarkers, genetic factors, and risk of cardiovascular disease in the Nurses’ Health Studies from the American Journal of Public Health

Download our FREE guide — Top 10 Tips to Live Healthier: https://zoe.com/freeguide

Is there a nutrition topic you’d like us to explore? Email us at podcast@joinzoe.com and we’ll do our best to cover it.

Episode transcripts are available here.

Today's episode of The Qualys is from podcast #03 – Ron Krauss, M.D.: a deep dive into heart disease.

The Qualys is a subscriber-exclusive podcast, released Tuesday through Friday, and published exclusively on our private, subscriber-only podcast feed. Qualys is short-hand for “qualifying round,” which are typically the fastest laps driven in a race car—done before the race to determine starting position on the grid for race day. The Qualys are short (i.e., “fast”), typically less than ten minutes, and highlight the best questions, topics, and tactics discussed on The Drive.

Occasionally, we will also release an episode on the main podcast feed for non-subscribers, which is what you are listening to now.

Learn more: https://peterattiamd.com/podcast/qualys/  

Subscribe to receive access to all episodes of The Qualys (and other exclusive subscriber-only content): https://peterattiamd.com/subscribe/ 

Connect with Peter on Facebook.com/PeterAttiaMD | Twitter.com/PeterAttiaMD | Instagram.com/PeterAttiaMD 

In this “Ask Me Anything” (AMA) episode, Peter answers a wide range of questions from readers and podcast listeners. Bob Kaplan, Peter’s head analyst, asks the questions.

This also marks the first video release of the podcast. You can find it on YouTube (https://youtu.be/kzs7GgxR_FQ) and the website (peterattiamd.com/ama03).

If you have any questions for the next AMA, please submit them to the AMA section on the website (peterattiamd.com).

We discuss:

• What references ranges does Peter consider too broad on lab tests? [5:30];
• What aspect of women’s health is the least studied/understood? [21:15];
• What are your thoughts on fasting and ketosis for females? [31:30];
• Advice for medical students and residents, how to get through it, and optimize their time while in med school [38:00];
• What is Peter’s opinion on the best way to monetize a podcast to make it sustainable? [47:45];
• What are you looking to achieve and monitor with your blood glucose monitor? [57:15];
• Thoughts on lithium supplementation? [1:08:15];
• Insights about berberine? [1:16:00];
• Why does Peter take a baby aspirin? What does the science say? [1:19:20];
• How do you use HR variability as a metric in your practice and/or in your own personal use? Sleep, pre/post exercise, pre/post eating, every morning readiness? [1:23:25];
• With the emergence of “the coconut oil is pure poison” article, can you shed some light on saturated fat in the literature and the types of studies done specifically on coconut oil? [1:38:45];
• Would you discuss the recent meta studies that claim that moderate carbohydrate intake may be best for health? [1:40:45];
• What is the number one recommendation/habit you would suggest every person add to their daily regimen (besides physical activity) for wholesome health? [1:42:45];
• What does it mean if your body has a harder time getting into ketosis via fasting than it used to (testing using a Precision Xtra)? [1:44:15];
• Why are you taking Zetia and Lipitor? Are you mitigating risk based on your APOE4? Or is there something else going on? [1:46:10];
• What will your book be about and what is the expected release date? [1:47:45];
• What are your thoughts on nicotinamide riboside supplementation for longevity? [1:49:30];
• Which brand of supplements have you found to be effective? [1:54:30];
• Are you currently accepting new patients? And how do I find a ‘Peter Attia clone’ in my area? [1:56:20];
• Bob’s personal experience with Peter as a doctor [1:58:45];
• Can you tell us more about the latest and best of APOE4? [2:06:15]; and
• More.

Learn more at www.PeterAttiaMD.com