#152 - He’s Treated Heart Disease for 36 Years. Here’s What He Wants You to Know | Dr. Joel Kahn

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[SPEAKER_00]: always put it number one on your priority list to assess what is your heart health.
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[SPEAKER_00]: You can say, but Doc, I go to yoga and I eat my chickpea salads and I sleep eight hours.
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[SPEAKER_00]: My BMI is 23, but never gets a view of heart disease.
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[SPEAKER_00]: Just find out blood work and imaging.
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[SPEAKER_00]: We need to talk about the test everybody listening today must have and you at the must have.
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[SPEAKER_01]: Welcome to the Dr. Joy Kong podcast.
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[SPEAKER_01]: This is where I have a chance to share with you some of the latest developments in the space of holistic health, longevity and wellness.
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[SPEAKER_01]: I've always honored intellectual curiosity and scientific rigor, combined with real world practicality.
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[SPEAKER_01]: My goal is that what you learn here will help you live longer and live better.
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[SPEAKER_01]: Hope you enjoy the journey with me.
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[SPEAKER_01]: Hello, welcome back to the Dr. Joy Compa Cast.
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[SPEAKER_01]: You know, I'm here to help you live longer and healthier, and I'm inviting really wonderful experts in health and longevity field or any field in medicine to come in and inform you to give you the best tips.
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[SPEAKER_01]: So you know what to do.
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[SPEAKER_01]: Today, I have the distinct
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[SPEAKER_01]: Con, a cardiologist, to come and lighten us on everything about the heart.
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[SPEAKER_01]: So, Dr. Con, thank you so much for being here.
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[SPEAKER_00]: Well, I'm a big fan of yours.
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[SPEAKER_00]: I learned a lot from you.
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[SPEAKER_00]: So let me give you a little payback, hopefully.
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[SPEAKER_01]: Oh, thank you so much.
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[SPEAKER_01]: That's very kind of you.
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[SPEAKER_01]: Yeah, let me introduce you to the audience a little bit.
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[SPEAKER_01]: So Dr. Khan is based into Troy, Michigan.
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[SPEAKER_01]: He is a clinical professor of medicine at Wayne State University School of Medicine.
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[SPEAKER_01]: And Dr. Khan has triple board certification in internal medicine, cardiovascular medicine, and interventional cardiology.
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[SPEAKER_01]: He was the first physician in the world to certify in metabolic cardiology with A4M.
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[SPEAKER_01]: He founded the Kong Center for cardiac longevity in Michigan.
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[SPEAKER_01]: So Dr. Khan, and you also wrote multiple books.
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[SPEAKER_01]: So I'm sure you have a lot to share about heart health.
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[SPEAKER_01]: And you probably were trained conventionally, you know, that there's a whole set of parameters that how we were trained in medical school
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[SPEAKER_01]: focusing on disease models.
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[SPEAKER_01]: So we're experts at diagnosis and using drugs.
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[SPEAKER_01]: But I think you have veered away from that box.
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[SPEAKER_00]: I've been practicing cardiology for 36 years and about 10 years ago, I opened this specialty boutique preventive cardiology, integrated cardiology office and suburban to try to also in Miami and Boca Raton in the winter.
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[SPEAKER_00]: I'm not done.
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[SPEAKER_00]: It gets cold and ugly here in Michigan and the winter.
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[SPEAKER_00]: I still have to at times, I saw patients today, I have patients that had bypass a month ago, and stents, and they're on prescription drugs.
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[SPEAKER_00]: But the overall emphasis is to catch you 10, 15, 20 years before you're in trouble.
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[SPEAKER_00]: Set up a program of lifestyle, predominantly, could be some supplements, could be some peptides.
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[SPEAKER_00]: and keep you out of trouble long-term, and hopefully keep you out of the drugstore, too, if I can get by without, you know, pharmaceutical agents, we'll do it.
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[SPEAKER_00]: But when we're dealing with hard disease, there's so much of it.
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[SPEAKER_00]: So many of the listeners today have hard disease and don't know it, and we need to tell them how they need to get checked.
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[SPEAKER_00]: while they're on the longevity journey, Peter Diamandus, a lot of people know that name.
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[SPEAKER_00]: Peter Diamandus M.D.
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[SPEAKER_00]: anti-aging longevity expert says, while you're working on your longevity, don't die of something stupid.
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[SPEAKER_00]: And I actually agree with them because we talk about peptides and bioregulators and stem cells.
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[SPEAKER_00]: you know blood transfusions in the rest and we don't talk about art disease.
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[SPEAKER_00]: So if we leave your audience with nothing more than a free decent, easy plan to ask the question, how old is my heart and is my heart on a anti-aging journey while the rest of it is?
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[SPEAKER_00]: We'd be, you know, making good progress.
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[SPEAKER_01]: Yeah, and of course, the heart is the foundation for every organ in our body.
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[SPEAKER_01]: We have to have a healthy heart, but I think as far as the medical model is focusing more on treating heart diseases.
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[SPEAKER_01]: So, I don't think we were very well equipped to really prevent them from ever getting heart disease.
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[SPEAKER_01]: So, where do you things are lacking?
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[SPEAKER_01]: Like, you know, what's the state of heart health in America?
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[SPEAKER_00]: Well, number one, it's absolutely key that people know that it still is the number one most common cause of serious disability and death.
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[SPEAKER_00]: men and women.
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[SPEAKER_00]: And it can attack and affect anybody.
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[SPEAKER_00]: A yoga person, a thin person, a person taking bioregulator peptides, a person fasting.
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[SPEAKER_00]: I mean, you can do cold flange.
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[SPEAKER_00]: You can do infrared zone.
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[SPEAKER_00]: You can do anything red light therapy.
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[SPEAKER_00]: You can still have heart disease and have heart attack or drop debt.
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[SPEAKER_00]: Always put it number one on your priority list to assess what is your heart health.
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[SPEAKER_00]: And you need to have a plan on how to check that.
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[SPEAKER_00]: Number two, along with the statistic about how frequent heart disease.
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[SPEAKER_00]: And somebody dies every 34 seconds in the United States of heart disease.
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[SPEAKER_00]: Somebody has heart attack every 40 seconds in the United States.
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[SPEAKER_00]: These are such huge numbers that we just
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[SPEAKER_00]: They fly by so quickly.
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[SPEAKER_00]: Number two is you do not have to have symptoms to have heart disease.
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[SPEAKER_00]: You do not have to have symptoms to have severe heart disease.
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[SPEAKER_00]: Maybe you're having burning, tightness, pressure.
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[SPEAKER_00]: Maybe you're getting shorter breath on the pickleball court more than you used to.
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[SPEAKER_00]: Maybe you're tired and fatigued and you got to take a break and tendness that you didn't use to.
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[SPEAKER_00]: You're kind of lucky if that's the case.
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[SPEAKER_00]: although that's usually in somebody with very advanced art disease.
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[SPEAKER_00]: But for the majority of people, all those years are developing cloud arteries.
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[SPEAKER_00]: They have no symptoms.
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[SPEAKER_00]: You cannot be satisfied that you worked out this morning and feel well and you conclude I don't have our disease.
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[SPEAKER_00]: That will get you burned in the long run if you make that assumption.
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[SPEAKER_00]: And third, I think, you know, you talk about a preventive model.
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[SPEAKER_00]: We learned early in the game in the 60s and 70s.
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[SPEAKER_00]: So 50 years ago.
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[SPEAKER_00]: that smoking diabetes, high blood pressure, high cholesterol, and mom-dad brother sister having an early heart attack bypass or dropping dead.
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[SPEAKER_00]: We're all risk factors that we are also going to develop heart disease.
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[SPEAKER_00]: Well, that is still the medical model to ask about calculate and
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[SPEAKER_00]: have a list of five or six things that you inquire with a patient.
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[SPEAKER_00]: In reality, the list is about 20, 25, 30 things long.
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[SPEAKER_00]: They get a lot of non-steroidal like Motron and other agents like that.
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[SPEAKER_00]: Obviously you're diet, I mean, you need this to say, obviously you're sleep quality, you need this to say, and on and on, you're dental health, you're oral health, you're gum health, on and on.
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[SPEAKER_00]: that you really want somebody to go deeper in a broad blood panel, real broad blood panel, usually cover by insurance or some people are using, you know, life force or function health or life extension or some of the other companies.
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[SPEAKER_00]: you know, that will do that and all.
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[SPEAKER_00]: You want extensive labs as a minimum.
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[SPEAKER_00]: That's not enough, but at least it's a start.
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[SPEAKER_00]: So those are some of the big points.
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[SPEAKER_00]: You know, I go by a hashtag test not guess.
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[SPEAKER_00]: Never guess if you have heard disease just find out blood work and imaging.
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[SPEAKER_00]: I haven't talked about imaging, but we need to talk about the test everybody listening today must
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[SPEAKER_01]: Okay, so which are the delapses that you would recommend everybody to get?
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[SPEAKER_00]: I could make you very long list, but you know, at a minimum, you need a cholesterol panel, I'd suggest you get what's called an advanced cholesterol panel.
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[SPEAKER_00]: $25, all the labs offer it.
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[SPEAKER_00]: It offers things like it's called your LDL size, LDL particle number.
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[SPEAKER_00]: But, you know, you either order yourself or you ask your primary care doc to order an advanced classical panel.
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[SPEAKER_00]: You want to know at least your hemoglobin, A1, C3, month blood sugar, but you want to know your fasting blood sugar, your pressure, know your insulin level.
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[SPEAKER_00]: These are all why they available.
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[SPEAKER_00]: You want to know, of course, your liver, your kidney, all the things the doctor's going to do.
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[SPEAKER_00]: Your vitamin D, your omega-3.
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[SPEAKER_00]: But your primary care doc is probably not measuring your home-most-system level.
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[SPEAKER_00]: I have so many patients.
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[SPEAKER_00]: And when I do the blood work, you know, there are people 50, 60 years old.
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[SPEAKER_00]: They haven't had one moment of methylation in their whole life.
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[SPEAKER_00]: According to their homosidia, we put them on B complex vitamins, and they're much more efficient methylators, and they're almost as stable as possible.
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[SPEAKER_00]: You watch inflammation tests, at least one high sensitivity C-reactive protein, also known at ChSCRP.
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[SPEAKER_00]: In reality, there's three or four other critical ones, M-E-O-L-P-B-L-A-2, but get one at least.
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[SPEAKER_00]: And the last one I'll throw at you is the topic of one of the books I wrote.
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[SPEAKER_00]: And I'm going to show this mainly because it's such a word word word.
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[SPEAKER_01]: Yeah, it says LIPPO Protein-A.
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[SPEAKER_00]: Yeah, and it has to be pronounced literally in the lower KSA and a lot of people ask for this and they get a different blood test that has a capital A. So what a pain to rare this is, but this is a genetic cholesterol every lab offers it for 2030 dollars.
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[SPEAKER_00]: I mean, it's not a big deal.
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[SPEAKER_01]: And then you call that hearts quiet killer.
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[SPEAKER_00]: Yeah, it's a genetic cholesterol.
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[SPEAKER_00]: You know, one out of every five people, sometimes one out of every four, inherit the ability to make it from mom and dad, from the moment they're born.
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[SPEAKER_00]: So there are two years old on the playground and they're making extra toxic cholesterol.
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[SPEAKER_00]: This is a toxic cholesterol.
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[SPEAKER_00]: This is more toxic, six-packed.
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[SPEAKER_00]: more toxic than LDL cholesterol, for causing afterosclerosis, hardening the arteries, for causing one of the four heartbells to get scarred and calcified.
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[SPEAKER_00]: So you can say, but Doc, I go to yoga and I eat my chickpea salads and I sleep eight hours at my ordering.
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[SPEAKER_00]: You know, my BMI is 23, but,
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[SPEAKER_00]: nobody's ever checked this and you find out it's sky high and you find out you might or might not but you might have bug arteries so that would be the last thing to do about it when you have a high level this is a tricky one and you know regular cholesterol response to exercise regular cholesterol response to a fiber-rich plant strong diet of course lower insaturated fat in
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[SPEAKER_00]: everybody who's a carnivore hates to hear that, but it's true.
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[SPEAKER_00]: There's a ton of supplements for regular cholesterol.
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[SPEAKER_00]: There's all the prescription drugs for regular cholesterol.
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[SPEAKER_00]: Right now, Leipop protein A is a tough one.
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[SPEAKER_00]: There is no FDA-approved drug to lower it, and you want to lower it, but there's no FDA-approved drug.
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[SPEAKER_00]: Statins like lipatore don't work, and they actually make this worse.
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[SPEAKER_00]: They cause it to go up.
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[SPEAKER_00]: There are three drugs in the pipeline.
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[SPEAKER_00]: One was supposed to be released this year.
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[SPEAKER_00]: But now it's been delayed a year.
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[SPEAKER_00]: We don't know why.
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[SPEAKER_00]: 8,000 patient double-blind randomized study of a drug you inject once a month.
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[SPEAKER_00]: That lowers the heck out of lipoprotein A, like 90 percent, 95 percent.
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[SPEAKER_00]: It seems to be working pretty safely.
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[SPEAKER_00]: But the company Novartis at a basal Switzerland delayed the results for a year.
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[SPEAKER_00]: We're all scratching your heads and saying, you know, you told us it would study would be done.
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[SPEAKER_00]: So we don't know why that is.
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[SPEAKER_00]: We don't have a drug available at this point.
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[SPEAKER_01]: Do we know if it actually correlates lowering lipoprotein A does a correlate with protection?
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[SPEAKER_00]: There's hints of it in the medical literature.
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[SPEAKER_00]: It certainly makes sense that it should, but it's not a proven fact.
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[SPEAKER_00]: And if people listening don't know, the FDA doesn't care only about does the new drug lower the level of lipoproteinate.
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[SPEAKER_00]: It does.
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[SPEAKER_00]: We know that from phase one, these dudes that they care about is it reducing heart attack stroke and, you know, cost to the country.
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[SPEAKER_00]: And that's where we think the results so far may be we're surprisingly a little disappointing
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[SPEAKER_00]: not a billion.
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[SPEAKER_00]: In the meantime, and I'm a bit of an odd ball, since the 1950s, Niacin has been used to lower cholesterol.
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[SPEAKER_00]: This happens to be a brand.
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[SPEAKER_00]: It's not my brand.
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[SPEAKER_00]: It's just a habit of extended release.
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[SPEAKER_00]: And it turns out in the 50s, 70s, 70s, Niacin was found to lower cholesterol in about 20 years ago.
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[SPEAKER_00]: It was found that at
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[SPEAKER_00]: I use it in my clinic, most cardiologists.
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[SPEAKER_00]: What would be the dosage use?
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[SPEAKER_00]: Usually 500 milligrams with breakfast, 500 milligrams with dinner, unless it's skipping breakfast and you can do lunch and dinner.
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[SPEAKER_00]: It can cause a hot flush red-based feeling.
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[SPEAKER_00]: This particular brand barely does that at all.
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[SPEAKER_01]: Hmm.
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[SPEAKER_01]: I don't mind it, I kind of like it.
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[SPEAKER_00]: I took, I do funny stuff and I took plain old-fashioned niacin this morning.
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[SPEAKER_00]: I, this is usually what I take myself.
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[SPEAKER_00]: This I can tolerate.
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[SPEAKER_00]: Oh my god, my wife said you're a lobster and every garment, like a niacin.
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[SPEAKER_00]: And that's what we'll use for years and years, although this brand has been available for about 40 years.
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[SPEAKER_00]: So there's a lot of experience here.
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[SPEAKER_01]: Mm-hmm.
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[SPEAKER_01]: Yeah, very interesting.
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[SPEAKER_00]: So we're struggling, but you should know, and if you're high, you know, and if you've gotten function health labs, you know, your lipoproutine, the LA level, if you've gotten life force labs, otherwise, just go to your primary care doc and say, you know, I could be one of 25% of people, and I need to know, certainly if you have heart attack strokes bypass in the family, I aunts, uncles, grandparents, parents, siblings.
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[SPEAKER_00]: do it either way.
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[SPEAKER_00]: And then if you find out you're high, tell your siblings, tell your parents, tell your kids, and maybe get checked out.
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[SPEAKER_00]: If they're four years old, that don't check them.
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[SPEAKER_00]: Under the kids, 21 years old, I think they had to know what they got.
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[SPEAKER_01]: And people are always puzzled.
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[SPEAKER_01]: So many people die suddenly, right?
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[SPEAKER_01]: It's not, it's not a, it happens a lot with young healthy athletes.
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[SPEAKER_01]: I mean, that's pretty scary.
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[SPEAKER_00]: It happens with healthy athletes, but it also happens with a person that would know the inside of a gym if you, you know, walk them in there.
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[SPEAKER_00]: The unhealthy.
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[SPEAKER_00]: It's actually one of my favorite sad topics that in the United States alone, 1,000 people a day die, I'm called sudden cardiac death, SCD.
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[SPEAKER_00]: That's a lot.
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[SPEAKER_00]: In percent of the time, there's sitting feeling.
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[SPEAKER_00]: That's not a really like noble place to have your last moment of life, and that's where that
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[SPEAKER_00]: or they're in their car, maybe they just left the gym and they got some heartburn and they're trying to just just rest.
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[SPEAKER_00]: And they're dead.
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[SPEAKER_00]: 90% of the time even if somebody's around and start CPR, 90% they die.
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[SPEAKER_00]: So we're trying to pick up heart disease.
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[SPEAKER_00]: So, let me just say this, if Bobby Kennedy Jr.
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[SPEAKER_00]: calls me right now and says, you know, cardiologist, what are we going to do for American health?
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[SPEAKER_00]: Nobody's talking about this in the Maham movement.
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[SPEAKER_00]: Unfortunately, we're talking about beef talo versus sunflower oil, but that's a really small topic, personally.
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[SPEAKER_00]: I would say at age 40 to 45, everybody listening or older, get these blood tests and then get one more thing.
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[SPEAKER_00]: And again, I'm not here to sell my books.
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[SPEAKER_00]: I'm really not.
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[SPEAKER_00]: I will never make a living selling my books.
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[SPEAKER_00]: I wrote this book about 14 years ago and then I rewrote it.
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[SPEAKER_00]: Yeah, back it off a little bit, it says that execs don't get bonuses and it's basically a plea that everybody listening hopefully you know about stem cells.
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[SPEAKER_00]: You know about telomeres.
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[SPEAKER_00]: You know about epitalon and other amazing topics.
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[SPEAKER_00]: But do you know the health of your heart and do you know that your local hospital as a CT scanner that you can pay about $150 and go get a heart.
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[SPEAKER_00]: CT scan, no injection, no allergy, no pain, about the same radiation doses of mammogram.
17:44.740 --> 17:51.166
[SPEAKER_00]: And this CT scan tells you the age of your heart artery, so that person with those white spots in the circle.
17:52.247 --> 17:53.889
[SPEAKER_00]: They're re-old hard arteries.
17:53.929 --> 17:56.091
[SPEAKER_00]: That person is in some trouble.
17:56.131 --> 17:57.132
[SPEAKER_00]: They're in a pickle.
17:57.513 --> 18:01.076
[SPEAKER_00]: This person, same test, does in half those white spots.
18:01.597 --> 18:03.299
[SPEAKER_00]: That's called elcified black.
18:03.339 --> 18:05.641
[SPEAKER_01]: Yeah, it just has got a little bit so we can see, okay.
18:05.661 --> 18:07.123
[SPEAKER_00]: And it doesn't have any of that.
18:07.363 --> 18:10.306
[SPEAKER_00]: And this test takes five to 10 seconds.
18:11.387 --> 18:18.693
[SPEAKER_00]: It doesn't matter if you're in Harvard or Sheeter Sinai or University of Michigan are your local hospital in the town of 10,000.
18:19.273 --> 18:28.020
[SPEAKER_00]: Almost all hospitals offer coronary artery calcium scan, and that they calculate using software a result that number.
18:28.680 --> 18:31.141
[SPEAKER_00]: and you want your number to be zero.
18:31.821 --> 18:35.563
[SPEAKER_00]: I'm 66 years old in my heart score is zero.
18:36.043 --> 18:47.688
[SPEAKER_00]: So now I can go work on peptides and bioregulators and you know, fasting programs and cold lunges because I know I'm not going to die as something stupid.
18:47.909 --> 18:54.692
[SPEAKER_00]: I also do, I do my gallery cancer screening and I do my total body MRI and yeah of course I have
18:58.093 --> 19:01.282
[SPEAKER_00]: But you know, check your heart first.
19:01.904 --> 19:05.113
[SPEAKER_01]: So the calcium score is mostly available in the hospitals.
19:05.428 --> 19:07.870
[SPEAKER_00]: Yeah, or free standing CT scanner.
19:07.970 --> 19:14.694
[SPEAKER_00]: It is CT MRI is kind of sweet because there's no radiation, but MRI doesn't give you this information.
19:14.974 --> 19:17.295
[SPEAKER_00]: Ultra-sound, ultra-sound is sweet.
19:17.456 --> 19:20.217
[SPEAKER_00]: No radiation can give you this information.
19:20.277 --> 19:27.162
[SPEAKER_01]: So you want a score to be zero, which means there's really zero classification or blockage, really, right?
19:27.722 --> 19:31.484
[SPEAKER_01]: So what if somebody has a score that's not zero?
19:31.705 --> 19:32.145
[SPEAKER_01]: What do you do?
19:32.676 --> 19:34.242
[SPEAKER_00]: One and goes back to basics.
19:34.523 --> 19:36.250
[SPEAKER_00]: If they haven't had all the lab work,
19:37.018 --> 19:48.341
[SPEAKER_00]: You know, what's their homocysteine, what's their inflammation panel, what's their lipoprotein little A, what's their vitamin levels to hormone levels, you know, is it a guy with a testosterone of 110?
19:49.361 --> 19:53.642
[SPEAKER_00]: Is it a woman who probably should be on hormone replacement therapy?
19:54.082 --> 19:59.544
[SPEAKER_00]: Turns out hormone replacement therapy at menopause lowers this cholesterol too.
20:00.184 --> 20:01.204
[SPEAKER_00]: So I think fan
20:05.745 --> 20:07.286
[SPEAKER_00]: around the time of menopause.
20:07.406 --> 20:11.028
[SPEAKER_00]: It's one of the few things that lowers that leap of protein that a life.
20:11.328 --> 20:12.529
[SPEAKER_00]: We're going to do all that.
20:12.589 --> 20:13.309
[SPEAKER_00]: We're going to hang out.
20:13.569 --> 20:15.950
[SPEAKER_00]: I want to know what breakfast lunch dinner snacks.
20:16.471 --> 20:17.451
[SPEAKER_00]: Are you drinking water?
20:17.471 --> 20:18.472
[SPEAKER_00]: Are you drinking soda?
20:18.492 --> 20:20.193
[SPEAKER_00]: Are you drinking energy drinks?
20:20.613 --> 20:22.394
[SPEAKER_00]: Are you drinking out of plastic bottles?
20:23.114 --> 20:26.796
[SPEAKER_00]: When do you last go to the dentist and had your gums examined?
20:26.816 --> 20:30.318
[SPEAKER_00]: I'm going to silver fillings and on and on and on.
20:31.693 --> 20:35.737
[SPEAKER_00]: Two, we're gonna talk about the science that not everybody likes to talk about.
20:36.377 --> 20:38.819
[SPEAKER_00]: And again, I've written a few nice books.
20:38.899 --> 20:42.422
[SPEAKER_00]: I still got one more, but one of the books is called the Plant-based solution.
20:42.883 --> 20:53.592
[SPEAKER_00]: Goes through the science of people like Dr. Dean Ornish and others, Mr. Nathan Predican and others, about how a predominantly or completely plant-based
20:54.413 --> 20:55.354
[SPEAKER_00]: quality diet.
20:55.414 --> 21:07.241
[SPEAKER_00]: It can't be all the frozen impossible burger beyond me burger junk out in the world, but all that does favor the chance of avoiding or even reversing heart disease, of course.
21:07.721 --> 21:22.950
[SPEAKER_00]: Mr. Prediken wrote articles in the 90s, the nornish wrote articles in the 1990s, with good scientific evidence you can reverse black in your heart arteries and other arteries by shifting your diet more and more to the plant side.
21:23.590 --> 21:26.499
[SPEAKER_01]: Well, the cardboard people are not going to be happy hearing that.
21:26.961 --> 21:30.592
[SPEAKER_01]: Do we know what happens when a person sticks to a carnivore diet?
21:31.042 --> 21:39.649
[SPEAKER_00]: Well, we got our first clue, which is there was a paper published about three months ago that incited a storm online.
21:40.630 --> 21:46.255
[SPEAKER_00]: There was one very well known academic cardiologist, author Matthew Budoff from UCLA Harbor.
21:46.675 --> 21:54.382
[SPEAKER_00]: The mother interesting people that do research Dave Feldman who's actually more of an engineer but he's got a big following.
21:54.882 --> 21:58.844
[SPEAKER_00]: and they took a hundred people that they call lean mass hypersponders.
21:59.304 --> 22:12.549
[SPEAKER_00]: People that eat an extremely low carb diet, they actually shove their cholesterol up into the three four hundred range by eating an extreme high fat low carb diet.
22:13.230 --> 22:17.531
[SPEAKER_00]: And they claimed that they were immune to developing atherosclerosis.
22:17.992 --> 22:21.893
[SPEAKER_00]: So to finally put it to the test, it was not a randomized study.
22:21.933 --> 22:23.114
[SPEAKER_00]: There was no control group.
22:23.714 --> 22:25.834
[SPEAKER_00]: They just grabbed a hundred of these people.
22:26.314 --> 22:28.995
[SPEAKER_00]: They did a CT of their heart arteries.
22:29.315 --> 22:33.696
[SPEAKER_00]: One more advanced than the pictures they showed you, but I'll just see Instagram.
22:34.016 --> 22:35.636
[SPEAKER_00]: And they repeated it at a year.
22:36.176 --> 22:45.338
[SPEAKER_00]: With the idea that we're gonna prove that the keto diet, almost carnivore diet, does not lead to black forming over 12 months.
22:45.418 --> 22:48.698
[SPEAKER_00]: Well, that was the headline, but that wasn't the results.
22:48.798 --> 22:52.019
[SPEAKER_00]: And it's created, you know, a hundred podcasts.
22:52.739 --> 22:58.483
[SPEAKER_00]: about the keto CTA disaster study and how I'm represented honestly.
22:58.563 --> 23:06.248
[SPEAKER_00]: Now, there's a whole lot of manipulating in all the back track and trying to salvage the work they did on that study.
23:06.628 --> 23:07.929
[SPEAKER_00]: It'll never be perfect.
23:08.089 --> 23:09.610
[SPEAKER_00]: It was not a randomized study.
23:09.650 --> 23:11.472
[SPEAKER_00]: There was no control group.
23:11.492 --> 23:16.135
[SPEAKER_01]: They were testing one-year prior and then a year later, right?
23:16.155 --> 23:18.676
[SPEAKER_01]: So that's a person serving as his own control.
23:20.950 --> 23:23.892
[SPEAKER_01]: They showed actually more calcification.
23:23.912 --> 23:28.294
[SPEAKER_00]: You really looked at it, you saw that plaque was increasing over the 12 months.
23:28.734 --> 23:30.836
[SPEAKER_00]: More rapidly than expected.
23:31.956 --> 23:34.558
[SPEAKER_00]: So any, that's about the only data we have right now.
23:34.678 --> 23:37.699
[SPEAKER_01]: And that, that we should get people a lot of pause.
23:38.340 --> 23:38.580
[SPEAKER_00]: Y'all.
23:39.687 --> 23:45.168
[SPEAKER_00]: If you want to eat a carnivore or a ketogenic or a pailing or diet, God bless you, there's a lot of advantage.
23:45.188 --> 23:48.249
[SPEAKER_01]: When people can do keto and still eat a lot of plants.
23:48.589 --> 23:53.829
[SPEAKER_00]: Again, and, you know, and they can do carnivore and eat some plants if they want to, whatever.
23:54.350 --> 23:56.210
[SPEAKER_00]: But check your heart get the lab test.
23:56.250 --> 24:00.471
[SPEAKER_00]: See if your cholesterol went up to 440 on a ketogenic.
24:00.531 --> 24:02.151
[SPEAKER_01]: Well, I definitely did.
24:02.231 --> 24:04.771
[SPEAKER_01]: I've tried the Acon's diet before.
24:04.791 --> 24:07.752
[SPEAKER_01]: It a lot of meat and cheese is shot through the roof, yeah.
24:08.232 --> 24:12.075
[SPEAKER_00]: Sure, your heart arteries are as close to perfect as possible.
24:12.136 --> 24:20.503
[SPEAKER_00]: So if you're going to do one of those diets that has a sense of no data that it's good for the heart, make sure you're not putting yourself at risk.
24:21.143 --> 24:31.072
[SPEAKER_00]: I've seen so many patients that when we ultimately check the arteries, their carnivore and keto diet was not a good decision, and they've got to decide what they want to do moving forward.
24:31.706 --> 24:32.086
[SPEAKER_01]: Hmm.
24:32.806 --> 24:33.227
[SPEAKER_01]: Okay.
24:33.727 --> 24:33.987
[SPEAKER_01]: Yeah.
24:34.687 --> 24:40.189
[SPEAKER_01]: So, plants, I guess the fight on nutrients that are very protective of the heart.
24:40.589 --> 24:58.255
[SPEAKER_00]: The fiber, the final nutrients, the high water content, the low saturated, you know, fat, content, AP less pesticides, herbicides, some of the crap that, you know, 95% of people are not eating grass-finished organic regenerative farming meat, or eating meat.
24:59.035 --> 25:02.657
[SPEAKER_00]: And you know, a lot of it is made under absolutely horrible circumstances.
25:02.677 --> 25:08.920
[SPEAKER_01]: It was bioaccumulation from the plants that were the head pesticides, et cetera, right?
25:09.201 --> 25:19.826
[SPEAKER_00]: All that, you know, fish, fish, love the bioaccumulate metals, quickly mercury, of course, but now PFAS and PFAS and BPA, they late.
25:20.647 --> 25:22.928
[SPEAKER_00]: The whole dirty soup that we live in.
25:23.437 --> 25:41.537
[SPEAKER_00]: so were you always interested in prevention sort of i actually adopted personally this is my bias um... i adopted a whole food plant is died at age 18 so that's 48 years i've never never done anything i haven't had a piece of cheese in 48 years i'm still alive
25:42.294 --> 25:46.817
[SPEAKER_00]: So when I was going through medical school, it seemed irrelevant what I was eating.
25:47.417 --> 25:59.565
[SPEAKER_00]: I have fellowship, but then I started noticing that there were some papers coming out certainly Dr. Dean Ornish and Mr. Nathan Predican being two of the big names that I read back in the 80s and 90s.
26:00.606 --> 26:03.067
[SPEAKER_00]: Dr. Ornish had an obligation in 1983.
26:03.868 --> 26:06.350
[SPEAKER_00]: Nobody remembers that's a year of graduate med school.
26:06.450 --> 26:06.690
[SPEAKER_00]: I said,
26:07.410 --> 26:10.512
[SPEAKER_00]: Whoa, he's actually treating heart disease with a plant-based diet.
26:10.572 --> 26:11.592
[SPEAKER_00]: I didn't know you could do that.
26:11.712 --> 26:12.212
[SPEAKER_00]: Nobody did.
26:13.513 --> 26:16.814
[SPEAKER_00]: And then I read books by John Robbins a died for New America.
26:17.215 --> 26:20.676
[SPEAKER_00]: So my career was a calf lab cardiologist.
26:20.836 --> 26:22.157
[SPEAKER_00]: I treated your heart attack.
26:22.317 --> 26:23.377
[SPEAKER_00]: I put in your stance.
26:24.118 --> 26:25.518
[SPEAKER_00]: I sucked out your clots.
26:25.618 --> 26:29.560
[SPEAKER_00]: You know, we have all kinds of cool devices and interventional cardiology.
26:29.580 --> 26:31.761
[SPEAKER_00]: I'm still bored, certified in interventional cardiology.
26:32.081 --> 26:33.202
[SPEAKER_00]: I don't practice this anymore.
26:33.702 --> 26:37.283
[SPEAKER_00]: But my patients would be told, this is the last time you're getting a stent.
26:37.443 --> 26:43.625
[SPEAKER_00]: It's here's your diet plan and then it extended to teach him about fitness and sleep and stress management.
26:43.725 --> 26:48.246
[SPEAKER_00]: And you know, joy and love biotoxin.
26:48.826 --> 26:57.409
[SPEAKER_00]: Yeah, so about 13 years going when back and got certified in integrative cardiology and sort of through the other life away.
26:57.469 --> 27:00.750
[SPEAKER_00]: I just recreated a life number two, we're allowed to do that.
27:01.182 --> 27:03.824
[SPEAKER_01]: Hmm, what do I know about stress and the heart?
27:04.185 --> 27:04.905
[SPEAKER_00]: Let's huge.
27:04.925 --> 27:06.667
[SPEAKER_00]: I mean, it's absolutely huge.
27:06.707 --> 27:08.168
[SPEAKER_00]: We've known it for a long time.
27:09.549 --> 27:18.157
[SPEAKER_00]: We know that stress ages us and you can measure it by the epigenetic age tests or telomere age tests.
27:18.177 --> 27:24.823
[SPEAKER_00]: The woman that won the Nobel Prize for telomeres in 2009, Elizabeth Blackburn and a great book.
27:25.063 --> 27:36.709
[SPEAKER_00]: the e-linear effect, I think, you know, show that probably the strongest factor, whether you're aging aggressively prematurely is various measurements of stress.
27:37.409 --> 27:43.592
[SPEAKER_00]: So, you know, we all need a tool, you know, some people, it's church or synagogue or faith.
27:44.073 --> 27:49.115
[SPEAKER_00]: Some people, it's nature, some people it's music, some people it's unfortunately, alcohol and cannabis.
27:49.836 --> 27:51.256
[SPEAKER_00]: I'm not anti-everything,
27:54.878 --> 28:08.441
[SPEAKER_00]: I like breathing, I like yoga, I like tai chi, I like chigang, I like heart math, I like respirate, these are more tool-based ways of managing stress and lowering your blood pressure.
28:09.082 --> 28:18.384
[SPEAKER_00]: It's a huge factor, and it's a little hard to measure, you know, measure a cortisol level, but that's, you can learn more about stress just talking to your patient, of course.
28:19.032 --> 28:22.938
[SPEAKER_01]: And of course, so many people under high stress actually die, right?
28:22.978 --> 28:26.783
[SPEAKER_01]: They have a certain heart attack, like during time of emotional stress.
28:27.328 --> 28:30.251
[SPEAKER_00]: Yeah, we, it's grown for about 40 years.
28:30.351 --> 28:36.416
[SPEAKER_00]: It may be 5% or 10% of heart attacks start during extreme stress.
28:36.456 --> 28:44.123
[SPEAKER_00]: The family argument that car accident, you know, kind of like Sanford and son, somebody grabbing their chest after a big family altercation.
28:44.883 --> 28:50.909
[SPEAKER_00]: But there's a unique syndrome in women way more than men, rarely men, called broken hearts in for them.
28:51.561 --> 28:57.668
[SPEAKER_00]: where women get bad news, husbands leaving them, kid got injured at a baseball game.
28:57.728 --> 28:58.849
[SPEAKER_00]: Something really big.
28:59.630 --> 29:08.119
[SPEAKER_00]: And they start to have a full-blown heart attacks in tightness, sweating, shortness of breath, nausea.
29:08.820 --> 29:15.183
[SPEAKER_00]: and they go to the emergency room 9-1-1 and it looks like a heart attack on EKG so they go right to the cat-left.
29:15.583 --> 29:16.784
[SPEAKER_00]: We don't find any blockage.
29:17.324 --> 29:34.312
[SPEAKER_00]: All the other people we find a blockage, we fix it and that's been called the broken hearts syndrome, extreme stress, probably extreme discharge of adrenaline, nor adrenaline, maybe causes the arteries to clamp down briefly.
29:35.012 --> 29:35.753
[SPEAKER_00]: And these women,
29:36.633 --> 29:40.734
[SPEAKER_00]: tend to recover, but they're prone to having it on a repeated base.
29:41.554 --> 29:45.055
[SPEAKER_00]: And it can have some consequences for your longevity.
29:45.255 --> 29:47.856
[SPEAKER_00]: Yeah, so a tool, the man is stressed.
29:47.876 --> 29:49.557
[SPEAKER_00]: You know, a lot of people have heard of.
29:49.677 --> 29:51.957
[SPEAKER_00]: I like 478 breathing.
29:52.698 --> 29:57.399
[SPEAKER_00]: Maybe you know that one, Dr. Andrew Wilde made 478 breathing popular.
29:57.903 --> 29:58.764
[SPEAKER_01]: No, tell me about it.
29:58.944 --> 30:01.706
[SPEAKER_00]: Breathe in through your nose for seconds or a count of four.
30:02.307 --> 30:08.312
[SPEAKER_00]: Hold it for seven seconds and breathe out through your mouth for eight seconds or a count of eight.
30:08.893 --> 30:19.462
[SPEAKER_00]: If you have four times in a row with seventy six seconds and it's going in that seventy six seconds, you can restore some HRV balance, simple balance.
30:19.662 --> 30:22.205
[SPEAKER_00]: That you can lower your heart rate, lower your blood pressure.
30:22.705 --> 30:27.427
[SPEAKER_00]: A lot of people do it like I got to go and stage and give it talk and I don't want to give it off.
30:27.887 --> 30:35.831
[SPEAKER_00]: I got to do four seven eight breathing while they're on the stage behind the curtain and step out nail it.
30:36.031 --> 30:37.611
[SPEAKER_00]: It's a real simple tool.
30:37.951 --> 30:38.572
[SPEAKER_00]: Kids do it.
30:38.632 --> 30:39.292
[SPEAKER_01]: It's a simple.
30:39.472 --> 30:42.934
[SPEAKER_01]: Yeah, there's only a little or a minute and you can.
30:43.514 --> 30:44.094
[SPEAKER_00]: Real simple.
30:44.494 --> 30:45.875
[SPEAKER_01]: Yeah, have a reset.
30:46.615 --> 30:48.096
[SPEAKER_00]: Yeah, so we got to manage stress.
30:48.476 --> 30:48.836
[SPEAKER_00]: We got to,
30:51.508 --> 30:54.771
[SPEAKER_01]: What do you think of the, I mean, so many people are on satins?
30:55.192 --> 30:58.455
[SPEAKER_01]: So what's your verdicts on these medications?
30:58.575 --> 30:59.597
[SPEAKER_01]: Would you put anyone on it?
30:59.937 --> 31:05.803
[SPEAKER_00]: Yeah, I do use statins, but I also joyfully, before you throw tomatoes at me.
31:06.324 --> 31:07.585
[SPEAKER_00]: He's a statin cellar.
31:08.126 --> 31:09.988
[SPEAKER_00]: Of course, friends are generic.
31:10.208 --> 31:12.690
[SPEAKER_00]: They are some of the cheapest drugs on the planet.
31:13.391 --> 31:22.673
[SPEAKER_00]: There was a time that they were the best selling drug on the planet, but they're all generic, now, so statins hardly make anybody a penny that alone were nickel.
31:23.673 --> 31:32.235
[SPEAKER_00]: They definitely have side effects, muscle aching, blood sugar elevation, brain fog, you know, in 10%, 15% of people.
31:32.756 --> 31:35.976
[SPEAKER_00]: The problem is people are in statins that don't need them.
31:36.036 --> 31:37.097
[SPEAKER_00]: That's the biggest problem.
31:37.137 --> 31:38.237
[SPEAKER_00]: And nobody talks about that.
31:38.597 --> 31:43.018
[SPEAKER_00]: There was a proposal 20 years ago that if your cholesterol's high,
31:44.079 --> 31:51.630
[SPEAKER_00]: But, you go for one of those heart CT scans we've talked about for $150 and it comes back perfect zero.
31:52.210 --> 31:58.699
[SPEAKER_00]: It was proposed by a bunch of academic doctors that you don't need a statin as you need lifestyle.
31:58.900 --> 32:00.061
[SPEAKER_00]: You need gym shoes.
32:00.682 --> 32:04.543
[SPEAKER_00]: He ate a blood pressure cuff, you need, you know, a bowl of lentils, that's what you need.
32:05.144 --> 32:13.567
[SPEAKER_00]: And it took 20 years, but that is actually the recommendation is not to start statins in people that have no atherosclerosis.
32:14.007 --> 32:15.768
[SPEAKER_00]: So I take a lot of people off.
32:15.908 --> 32:16.888
[SPEAKER_00]: They're really wary.
32:16.928 --> 32:20.970
[SPEAKER_00]: Doc, are you sure you want to stop my statin, my doctor, my other cardiologist?
32:21.650 --> 32:38.860
[SPEAKER_00]: I say, I absolutely want to, and I show them the scientific background why you'd have to treat so many zillions of people, calcium score zero, to hope one day you're going to save one of them for maving a possible visit or a cardiac attack.
32:39.461 --> 32:43.083
[SPEAKER_00]: It's not a reasonable decision, so, but...
32:43.783 --> 32:51.290
[SPEAKER_00]: I saw a guy today who had bypass surgery three months ago, and he's already changed his lifestyle dramatically.
32:51.330 --> 32:53.012
[SPEAKER_00]: This class fell still off the wall.
32:53.072 --> 32:54.053
[SPEAKER_00]: It's probably genetic.
32:54.813 --> 32:58.957
[SPEAKER_00]: I can't let him just walk around on planet Earth with a cluster of 300.
32:59.558 --> 33:00.899
[SPEAKER_01]: Okay, so you put him on stand.
33:01.388 --> 33:08.118
[SPEAKER_00]: Let me just say, you hear about microdosing, you know, GLP ones, talk about microdosing statins.
33:08.579 --> 33:15.589
[SPEAKER_00]: If you get a lot of cholesterol lowering with a super low dose, and there is a second medicine
33:16.350 --> 33:22.897
[SPEAKER_00]: that's been available for more than 20 years generic, very inexpensive called Zedia, ZETA.
33:23.538 --> 33:30.945
[SPEAKER_00]: And if you use a statin with Zedia as a combination, you can keep the statin dose ridiculously low.
33:31.005 --> 33:32.227
[SPEAKER_00]: You can get great results.
33:32.947 --> 33:37.532
[SPEAKER_00]: Studies say you get more plaque reversal when you use the combination.
33:38.373 --> 33:44.077
[SPEAKER_00]: And now places like the Mayo Clinic, published two months ago, nobody should ever be on a statin.
33:44.237 --> 33:45.117
[SPEAKER_00]: Well, that's shocking.
33:45.197 --> 33:54.023
[SPEAKER_00]: But what they said, everybody who needs to be on something should be on a statin plus Dediya to keep the statin ghost as low as possible.
33:54.123 --> 33:56.584
[SPEAKER_00]: And that's what I've been doing for a billion years.
33:56.664 --> 33:57.605
[SPEAKER_00]: It works really well.
33:58.051 --> 34:01.915
[SPEAKER_01]: And I want to ask you about a subject that maybe a little controversial.
34:02.376 --> 34:06.400
[SPEAKER_01]: Would you think of what happened with COVID or COVID vaccine?
34:06.780 --> 34:08.342
[SPEAKER_01]: What does that do to the heart?
34:08.938 --> 34:13.319
[SPEAKER_00]: We were lied to, we were misguided, we were abused.
34:14.459 --> 34:18.320
[SPEAKER_00]: Some of us were forced to get a gene therapy.
34:18.360 --> 34:20.901
[SPEAKER_00]: We didn't want to get to maintain our job in life.
34:20.941 --> 34:22.801
[SPEAKER_00]: And all those people lost jobs.
34:23.701 --> 34:27.042
[SPEAKER_00]: I have colleagues in medicine that lost practices.
34:27.762 --> 34:29.123
[SPEAKER_00]: It was an insane time.
34:29.203 --> 34:34.124
[SPEAKER_00]: And we're starting to dig out of it now with Senator Ryan Johnson.
34:35.024 --> 34:36.545
[SPEAKER_00]: You know, Bobby Kennedy, Jr.
34:36.585 --> 34:38.506
[SPEAKER_00]: and his committee, and I'm all for that.
34:38.666 --> 34:42.909
[SPEAKER_00]: I did not find Dr. Fogtree to be my medical hero.
34:43.389 --> 34:49.853
[SPEAKER_00]: I did not I Dr. Fogtree pyjamas like some of my colleagues who are posting on social media doctors.
34:50.953 --> 34:52.414
[SPEAKER_00]: Um, so I didn't take a vaccine.
34:52.574 --> 35:01.540
[SPEAKER_00]: I had COVID once before the vaccine and I said, I'll trust my overall health and my natural immunity and I think that's what should have been done.
35:01.620 --> 35:10.485
[SPEAKER_00]: I didn't have any high risk features and of course now the recommendations have shifted a lot already and hopefully they'll keep shifting away from using those agents.
35:10.785 --> 35:12.407
[SPEAKER_00]: Do I see myocarditis?
35:12.527 --> 35:12.868
[SPEAKER_00]: I do.
35:12.988 --> 35:13.789
[SPEAKER_00]: I don't see a lot.
35:13.909 --> 35:25.083
[SPEAKER_00]: I saw this last week, 35 year old gentleman, who's since one week after his COVID vaccination has had myocarditis recurrently, really challenging.
35:25.143 --> 35:27.766
[SPEAKER_00]: I put him on, I've remacked it in some other programs.
35:28.593 --> 35:40.500
[SPEAKER_00]: tell me recently, starting to feel better, but we'll see blood pressure can spike after COVID, blood pressure can spike after the COVID vaccines, and become a real problem where it wasn't a problem.
35:40.841 --> 35:47.745
[SPEAKER_00]: Or, a Rhythmia palpitations can spike after COVID, they can spike after the COVID vaccine.
35:47.885 --> 35:55.730
[SPEAKER_00]: Even though most people haven't had a vaccine in three to four years, they're still developing and having persistent problems.
35:56.243 --> 35:58.364
[SPEAKER_01]: So it could be developing down the road.
35:58.704 --> 36:01.425
[SPEAKER_00]: Yeah, yes, yeah, absolutely.
36:02.025 --> 36:06.127
[SPEAKER_00]: Do we need more data, we need more data, but do we have a lot of data, absolutely?
36:06.707 --> 36:11.970
[SPEAKER_00]: And how do you tell a person who started feeling bad, three days after vaccine?
36:12.730 --> 36:13.910
[SPEAKER_00]: That it's all in their head.
36:14.011 --> 36:20.413
[SPEAKER_00]: Well, that's what they're told until they see a doctor who's open minded like me and they almost break out on tears.
36:20.513 --> 36:22.414
[SPEAKER_00]: Oh, my God, I can't believe you're listening to me.
36:22.454 --> 36:24.455
[SPEAKER_00]: And you actually think, I'm not crazy.
36:24.850 --> 36:31.931
[SPEAKER_01]: I actually know a highly respected and very, very well-published cardiologist here in Los Angeles.
36:32.391 --> 36:37.752
[SPEAKER_01]: He was telling all his patients to get the vaccine until he himself developed arrhythmia.
36:38.012 --> 36:45.034
[SPEAKER_01]: And he said he had perfect heart, never had an issue in his life, and then after the vaccine he developed problems.
36:45.414 --> 36:47.574
[SPEAKER_01]: So he told everybody to stop.
36:48.494 --> 36:50.855
[SPEAKER_01]: So it is interesting that sometimes...
36:52.655 --> 36:55.777
[SPEAKER_00]: Yeah, you know, and that's how medicine's supposed to be.
36:55.797 --> 37:12.268
[SPEAKER_00]: I mean, there were reasons to be excited in 2020 that warp speed was going to protect us because a lot of us were reasonably scared, but and it didn't take long, you know, anybody that was following the vaccine adverse effect
37:19.132 --> 37:27.224
[SPEAKER_00]: In early 2021, a lot of us think the program should have been shut down in less than 90 days, and we rethink the safety of these things.
37:27.364 --> 37:29.988
[SPEAKER_00]: Of course, nobody was going to shut down the program.
37:30.008 --> 37:34.354
[SPEAKER_01]: And there are a lot of sudden deaths after the vaccine from young healthy people, yeah.
37:34.955 --> 37:38.797
[SPEAKER_00]: Well, you know, I got to say you're on social media, I'm on social media.
37:39.377 --> 37:40.557
[SPEAKER_00]: I take it pretty seriously.
37:40.598 --> 37:41.918
[SPEAKER_00]: I try and be responsible.
37:43.159 --> 37:51.562
[SPEAKER_00]: I mean, in 2025, if you post anything about COVID vaccine injury on TikTok, they will shut you down.
37:52.002 --> 37:56.684
[SPEAKER_00]: They, they, they do not want to hear anything about COVID vaccine in this.
37:57.385 --> 37:59.906
[SPEAKER_00]: I'm permanently banned from LinkedIn.
37:59.986 --> 38:01.467
[SPEAKER_00]: I couldn't get back on LinkedIn
38:05.368 --> 38:18.573
[SPEAKER_00]: I have been kicked off so many times for posting medical research, you know, journal, but if the topic wasn't in line with those people, so anyways, Emma.
38:19.214 --> 38:27.137
[SPEAKER_01]: Yeah, it's very shocking, especially coming from a country like China where people think that, oh, you don't have freedom of speech.
38:27.757 --> 38:42.351
[SPEAKER_01]: And I thought, I could come to this country and that this is the freedom, that's what this country offers, and as a shock that will happen during COVID, the doctors could not be doctors to not investigate and give any kind of medical opinion.
38:42.931 --> 38:47.996
[SPEAKER_01]: Yeah, that's contrary to what the official verdict is.
38:48.596 --> 38:49.737
[SPEAKER_01]: Yeah, it's very interesting.
38:50.458 --> 38:53.060
[SPEAKER_01]: What do you say to people who are suffering from
38:53.841 --> 38:58.544
[SPEAKER_01]: cardiac issues after the COVID or COVID vaccine.
38:58.965 --> 39:03.147
[SPEAKER_00]: Yeah, I mean, we try and make a firm diagnosis.
39:03.708 --> 39:08.451
[SPEAKER_00]: There is a relatively new blood test called a spike antibody level.
39:09.011 --> 39:14.014
[SPEAKER_00]: You can't treat if it's from the vaccine or from the native illness.
39:14.075 --> 39:15.135
[SPEAKER_00]: There are other tests.
39:15.175 --> 39:15.555
[SPEAKER_00]: You can get a
39:19.438 --> 39:32.932
[SPEAKER_00]: Well, so we try and document that, inflammation numbers, there is a pathologist who has a more advanced immunology lab panel specific for long COVID.
39:32.952 --> 39:34.354
[SPEAKER_00]: He pleases accurate.
39:34.454 --> 39:35.395
[SPEAKER_00]: Some people do that, I.
39:36.223 --> 39:37.504
[SPEAKER_00]: Blinken has named for a minute.
39:37.584 --> 39:39.826
[SPEAKER_00]: I've sent a lot of people to him for the testing.
39:40.326 --> 39:42.388
[SPEAKER_00]: There's an interesting H.A.V.
39:42.628 --> 39:48.313
[SPEAKER_00]: Antiviral that he uses called Maravirak that under his guidance, I've got some patients taking.
39:48.573 --> 39:50.214
[SPEAKER_00]: Pretty safe, drug.
39:50.515 --> 39:55.398
[SPEAKER_00]: So trying to document it, you know, we might have to do an ultrasound of the heart and MRI of the heart.
39:55.539 --> 39:57.080
[SPEAKER_00]: Yeah, all whatever needs to be done.
39:57.580 --> 39:59.241
[SPEAKER_00]: I use I've remacked in impatience.
39:59.301 --> 40:01.181
[SPEAKER_00]: I used I've remacked in in 2021.
40:01.381 --> 40:07.223
[SPEAKER_00]: I got in a lot of trouble with my state But I used it because it got people better in 24 hours.
40:07.643 --> 40:08.464
[SPEAKER_00]: I didn't use much.
40:08.544 --> 40:16.026
[SPEAKER_00]: I drags a clerk when There are a couple vitamins out there for people that maybe COVID injured COVID vaccine injured.
40:16.086 --> 40:17.707
[SPEAKER_00]: They have natto kinase and
40:18.527 --> 40:23.128
[SPEAKER_00]: got a curcumin and some other natural products in them, spike supports.
40:23.568 --> 40:28.529
[SPEAKER_00]: Some people are wearing naked patches, half of the nicotine patch.
40:29.670 --> 40:33.271
[SPEAKER_00]: There's some effect on the heart that seems to be favorable and all.
40:33.891 --> 40:35.211
[SPEAKER_00]: So that's interesting.
40:35.271 --> 40:36.531
[SPEAKER_00]: Most people don't know about that.
40:36.551 --> 40:38.272
[SPEAKER_00]: You know, not a lot of data.
40:38.292 --> 40:38.932
[SPEAKER_00]: There is a little
40:40.277 --> 40:41.578
[SPEAKER_00]: Beyond that, it gets tough.
40:41.938 --> 40:51.166
[SPEAKER_00]: Yeah, culture scene, maybe people know the name is an old gout drug that's still used to put anti-inflammatory drugs as sometimes you gotta do that.
40:51.927 --> 40:59.573
[SPEAKER_00]: Now, there are organizations that have protocols that are suggested, but we just don't have enough research, like large randomized trials.
41:00.703 --> 41:19.215
[SPEAKER_01]: Yeah, so your approach to heart health is number one lifestyle, diet, exercise, sleep, and reduce toxic exposures, then you mentioned something like bio-regulators or peptides, then you will be that sequence, correct?
41:19.735 --> 41:22.157
[SPEAKER_00]: Right, yeah, I'm fascinated, you know.
41:23.117 --> 41:48.762
[SPEAKER_00]: Certainly the peptides with the most data are semi-glutide enters hepatide, obviously known as ozempic, what gobi, mungioro in zephone, and they are peptides, and I have a lot of patients pay cash, I have patients that have insurance coverage, most of them because they're either diabetic or obese, some are doing it a little bit more for the vanity route, and particularly for semi-glutide,
41:50.442 --> 41:56.026
[SPEAKER_00]: The data that these are actually very protective heart drugs is very compelling.
41:56.066 --> 42:07.195
[SPEAKER_00]: In fact, there was just a real world report on semi-glutide for heart patients or chersepid tide, which is Muung Jairo Zepam.
42:07.676 --> 42:11.939
[SPEAKER_00]: And actually semi-glutide seemed to work a little better to protect heart patients from outcome.
42:12.079 --> 42:15.221
[SPEAKER_00]: It was not a randomized study, it was a big database study.
42:15.962 --> 42:17.022
[SPEAKER_00]: We got lots to learn.
42:17.562 --> 42:23.404
[SPEAKER_00]: When you get past that, BPC-157, or kiss peptin, and neem it.
42:23.424 --> 42:26.205
[SPEAKER_00]: They're not a lot of data in the hard world.
42:26.305 --> 42:27.945
[SPEAKER_00]: I mean, you know, nearly not.
42:28.205 --> 42:35.347
[SPEAKER_01]: What about Epitalon that I remember one study was showing how it reverses just been on it for three years.
42:35.367 --> 42:39.688
[SPEAKER_01]: It reversed people's cardiac age by seven years, a bit by nine years.
42:40.056 --> 42:51.923
[SPEAKER_00]: Yeah, and I think, you know, that one, you know, a pineal gland by regulators and thimus gland by regulators, they have the longest tradition being used in Russia.
42:52.423 --> 42:57.446
[SPEAKER_00]: A lot of data, but they have data, including some longevity data from back to caverns in Russia.
42:58.098 --> 43:04.359
[SPEAKER_00]: So they are considerations, of course, of people, though, no, of course, most bioregulators are ground up animal products.
43:04.860 --> 43:26.045
[SPEAKER_00]: My vegan heart leads over the thought of taking ground up animal, are capsules, they ground up tightness, gland castles, but if we knew for sure that it was an important part of a treatment program, bring it on and there are synthetic bioregulator peptides that aren't just manufactured in a petri dish because they're such simple little two and three amino acid strings.
43:28.725 --> 43:33.288
[SPEAKER_00]: But in the, I mean, it'll catch on, but do we need research?
43:33.988 --> 43:41.413
[SPEAKER_00]: Do I see people every day that, man, do I, down and go spend some bucks and buy a regular peptides for their blood vessels in their heart?
43:42.033 --> 43:50.458
[SPEAKER_00]: And there's, you know, very, very little data for, I think it's called kilo heart, I'm like on the name of the peptide for the, of the, by regular, for the heart.
43:51.255 --> 43:58.917
[SPEAKER_00]: We need better therapies and maybe those are better therapies, but they're going to have to come with some research and some studies, better doubt.
43:59.677 --> 44:04.939
[SPEAKER_01]: So in your book, I'd love to title the, that execs don't get bonuses.
44:05.019 --> 44:08.900
[SPEAKER_01]: So what, what's the, what's the main teaching from that book?
44:09.320 --> 44:15.082
[SPEAKER_00]: Well, main teaching is test.guess, get the lab work, but even if you forget the lab work.
44:16.179 --> 44:26.204
[SPEAKER_00]: You know, go to your primary card doc, ask for a prescription for a heart calcium CT scan, and I'll give you a little extra bonus information here in a minute.
44:26.965 --> 44:31.427
[SPEAKER_00]: Schedulated Cedar Sinai at UCLA at Santa Monica, St.
44:31.447 --> 44:39.952
[SPEAKER_00]: John, just get the test done all over the United States, really all over the world, a little bit tricky in Canada, but even in candy, get it done.
44:40.800 --> 44:50.108
[SPEAKER_00]: And make sure you're a zero or nearly a zero and if you're not find some preventive doc that knows what the heck they're doing, uh, it will do that extra blood work.
44:50.609 --> 44:53.071
[SPEAKER_00]: And, uh, we've got some data.
44:53.111 --> 44:55.773
[SPEAKER_00]: We don't have enough that we will probably save the price.
44:55.913 --> 45:01.718
[SPEAKER_00]: I have no doubt we save lies, but when I'm talking about actual randomized studies that show we save lives, they're starting
45:02.759 --> 45:05.121
[SPEAKER_00]: The technique is over 30 years.
45:05.161 --> 45:08.984
[SPEAKER_00]: You'd think we'd have abundant double blind randomized studies by this point.
45:09.664 --> 45:10.084
[SPEAKER_00]: We don't.
45:10.225 --> 45:12.026
[SPEAKER_00]: There's not much money in this test.
45:12.366 --> 45:17.030
[SPEAKER_00]: And, you know, it's not driving a big industry because there's barely any profit.
45:17.290 --> 45:19.732
[SPEAKER_00]: And when you're charging $100, she'll see if she can.
45:20.612 --> 45:23.153
[SPEAKER_00]: Um, I don't know on a CT scanner is no profit for me.
45:23.213 --> 45:26.474
[SPEAKER_00]: I just recommend it because it really helps identify a high risk patient.
45:26.934 --> 45:29.335
[SPEAKER_00]: There is a more advanced CT scan.
45:29.355 --> 45:31.716
[SPEAKER_00]: A lot of people have heard about it, particularly in L.A.
45:31.756 --> 45:36.258
[SPEAKER_00]: and I'll call it legally health coronary CT angiogram.
45:36.658 --> 45:39.159
[SPEAKER_00]: Clearly CLED ROI health.
45:39.999 --> 45:40.980
[SPEAKER_00]: CCTA.
45:41.381 --> 45:43.944
[SPEAKER_00]: It's just like the other cat scan I showed you in the book.
45:44.344 --> 45:46.667
[SPEAKER_00]: But you have to inject die iodine.
45:47.268 --> 45:48.730
[SPEAKER_00]: iodine's not radioactive.
45:48.790 --> 45:50.171
[SPEAKER_00]: A few people are allergic to it.
45:50.992 --> 45:52.574
[SPEAKER_00]: You feel hot for 20 seconds.
45:53.435 --> 45:58.361
[SPEAKER_00]: And then the hot feeling passes and you go home with a bandaid, but you get...
45:59.162 --> 46:03.584
[SPEAKER_00]: 100 times more information about your arteries, but it's not a hundred dollar test.
46:03.665 --> 46:05.505
[SPEAKER_00]: It's a $1,700 test.
46:06.086 --> 46:08.267
[SPEAKER_00]: It's not less radiation than a mammogram.
46:08.307 --> 46:10.088
[SPEAKER_00]: It's a little more than a mammogram.
46:10.968 --> 46:13.390
[SPEAKER_00]: You probably want to be guided by somebody.
46:13.650 --> 46:18.092
[SPEAKER_00]: I saw a 48-year-old gazillionaire in the office this morning.
46:18.532 --> 46:20.033
[SPEAKER_00]: He had never had any testing.
46:20.153 --> 46:22.935
[SPEAKER_00]: And we're going to start with the hundred dollar quick-seekies kit.
46:23.655 --> 46:33.146
[SPEAKER_00]: As a Vick comes back zero, I'm going to reassure I'm 99 plus percent that right now he's in good shape and we're going to the lab work.
46:33.267 --> 46:37.051
[SPEAKER_00]: But if he had told me doc, I wanted to go right to the fancy test.
46:37.151 --> 46:38.373
[SPEAKER_00]: I wouldn't have argued with you.
46:38.853 --> 46:39.934
[SPEAKER_01]: Hmm, I see.
46:39.955 --> 46:39.995
[SPEAKER_01]: So.
46:42.525 --> 46:47.808
[SPEAKER_01]: As a cardiologist, what is your regimen to make sure that your heart is functioning at top shape?
46:48.308 --> 46:52.031
[SPEAKER_00]: It's a good question and it goes back anything I mentioned today, I do.
46:52.051 --> 46:58.234
[SPEAKER_00]: I get that I have a calcium score zero at age 66, but I started checking at age 40.
46:58.475 --> 47:04.018
[SPEAKER_01]: What is the percentage I'm curious, percentage of people age 66 that have a zero calcium score?
47:04.417 --> 47:05.057
[SPEAKER_00]: probably about 20% 15%.
47:06.198 --> 47:15.700
[SPEAKER_00]: It's not one million, but it's, you can calculate that and find out, and I might have been trying to do that for you real quick, but it's not real important.
47:16.200 --> 47:21.162
[SPEAKER_00]: And I do an ultrasound, I'm a carated arteries, which is called the CIMT.
47:21.562 --> 47:25.763
[SPEAKER_00]: It also lets me see if I'm developing plaque very simply without variation.
47:26.383 --> 47:28.164
[SPEAKER_00]: I do all those crazy lab work.
47:28.904 --> 47:37.047
[SPEAKER_00]: I'm gonna go shut a door, if I don't get that little creature to quiet down, I do all the lab work, I'm a self-term twice a year, three times a year.
47:37.067 --> 47:45.931
[SPEAKER_00]: I mean, yeah, you got to know your APOE and your homocysteine, and I've had a lot of genetic testing because we're all crazy in this field and telemarison.
47:46.511 --> 47:49.273
[SPEAKER_00]: Yeah, you know, an epigenetic age test.
47:49.693 --> 47:51.193
[SPEAKER_00]: My favorite is glycane age.
47:51.253 --> 47:52.414
[SPEAKER_00]: Nobody talks about that one.
47:52.514 --> 47:54.775
[SPEAKER_00]: Yeah, incredibly well at that one.
47:54.835 --> 47:57.516
[SPEAKER_00]: All the others, I'm not as crazy about that.
47:57.805 --> 48:04.248
[SPEAKER_00]: I get seven eight hours sleep, I create a schedule where I'm in bed by 10 o'clock to get seven eight hours sleep.
48:04.828 --> 48:10.490
[SPEAKER_00]: I get 30 minutes a day of exercise seven days a week and I rotate like the ability and strength and cardio.
48:10.971 --> 48:16.813
[SPEAKER_00]: I'm never going to win the Arnold muscle building compound, but yep, I do my strength training.
48:17.393 --> 48:19.074
[SPEAKER_00]: I take my creatinine supplements.
48:19.518 --> 48:34.368
[SPEAKER_00]: I eat healthy diet, you're not going to find any soda or junk, you're not going to find any plastic in my house or my car or my office, we're really upgraded, we've got air filters in the house in the office, we've got our systems in the house in my office.
48:35.308 --> 48:42.053
[SPEAKER_00]: I use infrared so I'm a pretty regularly, I'm not much a coal plunge person, a big sunshine person.
48:42.273 --> 48:47.056
[SPEAKER_00]: I love sunshine when I can get it in Michigan, that's a rare commodity, that's why I open
48:49.249 --> 48:53.751
[SPEAKER_00]: Um yeah, I take 45 supplements a day and they vary.
48:53.911 --> 48:54.472
[SPEAKER_00]: They vary.
48:54.572 --> 48:55.352
[SPEAKER_00]: I worry a bit.
48:55.372 --> 49:02.395
[SPEAKER_00]: Yeah, I was taking touring which was having a good run as a new anti-aging supplement.
49:02.455 --> 49:07.097
[SPEAKER_00]: Now, there's a very preliminary paper about something to do with touring in leukemia.
49:07.798 --> 49:09.719
[SPEAKER_00]: Don't maybe we shouldn't take it every day.
49:09.799 --> 49:11.259
[SPEAKER_00]: Maybe we shouldn't take as a child.
49:11.399 --> 49:12.400
[SPEAKER_00]: Nobody knows the answer.
49:13.135 --> 49:19.180
[SPEAKER_00]: I was taking spermidine a lot of, you know, your list, there's a herd of spermidine as a lung of the age.
49:19.200 --> 49:24.485
[SPEAKER_00]: Well, there was a paper I recently, that spermidine might have a pathway of promoting cancer.
49:24.585 --> 49:28.288
[SPEAKER_00]: You know, there's so complex in aging, there's so complex.
49:29.049 --> 49:33.773
[SPEAKER_00]: I really like another Los Angeles researcher, Dr. Volter Longo.
49:34.293 --> 49:34.714
[SPEAKER_01]: Okay.
49:35.134 --> 49:37.356
[SPEAKER_00]: I mean, you know, the, and I do that program.
49:37.396 --> 49:40.599
[SPEAKER_00]: The pro one fasting mimicking guy pretty regularly.
49:41.120 --> 49:49.467
[SPEAKER_00]: If you said to Dr. Longo, you're going to live longer with touring or sperm and dean, and I am on pretty good terms with him.
49:49.968 --> 49:50.768
[SPEAKER_00]: We talk a lot.
49:51.149 --> 49:54.031
[SPEAKER_00]: He would, you know, look at you like you're from another plan.
49:54.472 --> 49:55.593
[SPEAKER_00]: Say, how do you know?
49:55.973 --> 49:57.474
[SPEAKER_00]: How do you know which pathway?
49:57.494 --> 49:59.436
[SPEAKER_00]: I, I, I, I, even,
50:00.357 --> 50:16.076
[SPEAKER_00]: and i'm a bit concerned we don't know for sure if lengthening telemairs is neatly benign because there are there are a few cancer syndromes uh with you know longer than average telemairs i'm not anti-linked bitting up or measuring them
50:16.757 --> 50:30.901
[SPEAKER_00]: or trying to at least maintain your telemere length over time, but do we really know for sure that there's zero risk with purposely going in there and lengthening your telemere.
50:35.882 --> 50:47.031
[SPEAKER_00]: No, it's not just the telemars lengthen with biol peptide regulators, but biol regular peptides, but you know, the epigenetic age tests are improving and the pace of aging tests are improving.
50:47.692 --> 50:54.637
[SPEAKER_00]: It looks pretty, you know, solid like that's all a good plan that he's teaching and we talked about privately before.
50:55.318 --> 50:59.621
[SPEAKER_00]: But, you know, paying a little attention any new science coming out about
51:05.346 --> 51:05.687
[SPEAKER_01]: I see.
51:05.787 --> 51:06.989
[SPEAKER_01]: Where about home or replacement?
51:07.530 --> 51:08.432
[SPEAKER_01]: Are you utilizing it?
51:08.492 --> 51:08.693
[SPEAKER_01]: Nope.
51:09.073 --> 51:10.095
[SPEAKER_00]: Yeah, big fan.
51:10.296 --> 51:11.337
[SPEAKER_00]: I'm personally not.
51:11.398 --> 51:12.399
[SPEAKER_00]: My levels are good.
51:12.720 --> 51:13.722
[SPEAKER_00]: Best offerings in the 600-700.
51:13.822 --> 51:16.687
[SPEAKER_00]: I mean, there's no reason to add more.
51:17.328 --> 51:28.971
[SPEAKER_00]: But you know, in the women that approach menopause, I'm for all them getting a high level expert evaluation and a trial and keeping it going longer.
51:29.011 --> 51:38.734
[SPEAKER_00]: My mother's 92, she's still on her estrogen patch and her oral progesterone and all is her brains amazing.
51:39.994 --> 51:44.515
[SPEAKER_00]: My wife's been on good quality HRT for 15 years
51:46.636 --> 51:48.337
[SPEAKER_00]: She has clearly benefited from it.
51:48.437 --> 51:49.577
[SPEAKER_00]: She's a young person.
51:49.958 --> 51:50.138
[SPEAKER_00]: Yeah.
51:50.758 --> 51:51.598
[SPEAKER_01]: Mm, amazing.
51:52.359 --> 51:53.599
[SPEAKER_01]: Yeah, thank you so much.
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[SPEAKER_01]: Are there any parting words that you have for people who are seeking to improve their heart or cardiovascular health, right?
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[SPEAKER_01]: It's not just the heart, it's the entire blood vessel system, you know, the blood system.
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[SPEAKER_00]: No, you don't have to adopt my diet.
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[SPEAKER_00]: I'm not going to judge you, but you do have to check your hard arteries.
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[SPEAKER_00]: Yeah, it was in the 1600s that an English physician in Thomas Sidingham said you are as young as your arteries.
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[SPEAKER_00]: Here we are 400 years later, and we still got the number one killer men and women being sudden cardiac death, heart attacks, heart disease, and we could make huge inroads starting right now if everybody listening gets the heart CT scan gets the advanced labs, whether they pay for them and they're paid for through insurance, and get serious about longevity of the heart.
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[SPEAKER_00]: It's really an important topic.
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[SPEAKER_01]: Yeah, yeah, thank you so much for that.
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[SPEAKER_01]: I'm inspired.
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[SPEAKER_01]: I'm going to my clinic shortly.
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[SPEAKER_01]: I'm going to rent some of the labs.
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[SPEAKER_01]: You said of labs.
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[SPEAKER_01]: Yes, thank you so much.
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[SPEAKER_00]: Good for all you do and it's good that we're fighting this war together.
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[SPEAKER_01]: Yes, yes, it is wonderful.
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[SPEAKER_01]: Thank you so much for sharing your knowledge.
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[SPEAKER_01]: I learned a lot from you.
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[SPEAKER_01]: I'm sure listeners as well.
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[SPEAKER_01]: So thank you again and good luck in all your endeavors and cheers for a long healthy life.
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[SPEAKER_00]: Thank you and my dog Lucy wants to thank you, too.
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[SPEAKER_00]: That was her birthday in the background.
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[SPEAKER_00]: That little freak.
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[SPEAKER_01]: Thank you for listening to this episode.
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[SPEAKER_01]: Hope you enjoy the content.
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[SPEAKER_01]: And if so, please rate and follow this podcast.
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[SPEAKER_01]: To reach me, you can contact uplift longevity center.
53:48.484 --> 53:54.066
[SPEAKER_01]: That is uplift with a Y. You can also subscribe to my YouTube channel Joy Kong MD.
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[SPEAKER_01]: See you next time.