Heart Health

Atherosclerosis. ApoB.

What is ApoB, LPa?

Lowering your ApoB

• Exercise has NO MEANINGFUL IMPACT ON LIPOPROTEIN
• Only pharmacology. And maybe nutrition
• Nutrition: Dramatically reduce Carbs, which lower Triglycerides.
• Nutrition: Dramatically reduce Sat Fat. Reduces cholesterol synthesis. Down regulates LDL
• Low carb and Low sat fat -> lower ApoB. But it may not be enough.
• Attia’s ApoB is still 100 mg/dl. Its very high apparently. Especially for genetic predisposition.
• Target ApoB 30 to 40 mg/dl.
• Drugs: PCSK-9 inhibitator. And Combo: Nexlizet – Bempedoic Acid / Ezetimibe
  • Prevents non-esterofied cholestoral to be reabsorbed.
  • Cholesterol Synthesis Inhibitor.
• Statin? Hmm, maybe we have alternatives. There are side effects.

Another example

• 160 apob, brings it down.
• Optimize the insulin
• 4 grams of fish oils per day!
• Flax meals
• Berberine

CAC

• This scan shows us the damage.
• Scan is important.
• CAC Progression.
• ZERO BENEFIT SEEN using Statins in CAC.
• CAC is correlated with BP and Diabetes
• THIS IS BECAUSE OF HYPERINSLUMENIA
• Total Cholesterol / HDL < 5.0 is the thing to go for.
• Hypertension is bad.
• INSULIN IS THE KILLER FUCK IT
• CAC seems to be very important.