Cardiovascular disease

A New LDL-Cholesterol Theory Coming to a Doctor Near You

by Mike Mutzel

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The podcast delves into how LDL cholesterol's impact on atherosclerosis is influenced by factors like diet and lifestyle, not just LDL levels alone. It also discusses the mixed role of statins and the surprising presence of high LDL in long-lived individuals.

Tools Mentioned:

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Research Mentioned:

Ference, B. A., Braunwald, E. & Catapano, A. L. The LDL cumulative exposure hypothesis: evidence and practical applications. Nat. Rev. Cardiol. 1–16 (2024) doi:10.1038/s41569-024-01039-5.

 

Time Stamps:

00:45 LDL's link with atherosclerosis is nuanced.
02:30 Initial damage to the arterial wall makes LDL levels problematic.
03:45 Increases risk of arterial wall damage: elevated blood pressure, insulin resistance/diabetes, smoking/vaping, obesity, elevated blood viscosity, consuming oxidizableoils.
08:40 High LDL and high triglycerides suggest insulin resistance and increased cardiovascular risk.
09:50 Start with diet and exercise together.
11:20 Statins have concerning side effects.
13:15 Plaque formation begins early in life.
13:50 High LDL is found in centenarians.
14:44 Centenarians are metabolically healthy.
15:40 Your liver makes LDL cholesterol.
16:10 Every cell in your body requires cholesterol.
18:00  Diets high in seed oils make your LDL more likely to be oxidized.
20:55 30-50% of people who have heart attacks have optimal serum cholesterol.

 


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