Appreciate you publishing this. It reflects the intelligent and fact based commentary your following has grown to respect, and expect from you.

As opposed to the 25hrs of podcasts? How shocking!!!!

Gonna burst your bubble and inform you that an average person can’t even come close to understanding this. Did you know that 54% of Americans can only understand what they read at a 5th grade reading level or less and have trouble inferring things from what they read?

doesn't take long to tell a lie.

There is bad cholesterol tho, or however u call it. But it's not exactly the LDL, only a smaller part of it. So the total of your LDL doesn't say that much. Triglycerides is one of the other worst to avoid. Except for like those in coconut oil, imo. This is perfectly explained in this video "The BIGGEST Risk Factor For Heart Attack" by Dr. Mike Hanssen, must watch. So what you basically just have to avoid in food is processed foods (can be a lot of things, not all processed foods are necessarily bad), saturated fats from animal meat or eggs, milk etc. Then for a big part refined/added sugars, especially in higher doses like cola etc. And then just 1 more that is pretty known too, fried foods, not necessarily cuz the amount of fat it contains but often unsatured fats are used there & several times again which might create trans fats too, some of the worst. And then it's often combined with like some fat meat & sauce etc. So I don't think any of the natural/vegetal & pure oils are bad, it's more the processed shit or animal fat u gotta avoid. So those pure oils, fats probably indeed don't create any "bad cholesterol". But if U wanna know real risk or how high ur bad cholesterol is gotta look for the LDL type B i believe. And meds like statins are mostly just affecting the harmless part of LDL cholesterol, but it's all in that video I gave :)

Aunty's heart probably look like an uncleaned sewage pipe 😂

In familial hypercholesterolemy the chance for a heart attack or stroke is higher and life long statins are standard. Now we dont know if your aunt is really lucky OR your entire family hasn't had any cardiovascular events in which case maybe u really dont have a reason to take them

Actually, very high total cholesterol is quite common in centarians. That is why total cholesterol is a meaningless marker.

​@@Buorgenhaeren what would make you think that?

Exactly!!!! Statins can cause dementia! Muscle weakness!

Ily

Research CAC scan/score. edit - it measures CALCIUM buildup/plaque in arteries

@@w1975b I just did one of these electively at 40 yr old out of curiosity. Gives you piece of mind to know you're not clogged and your diet and lifestyle hasn't been too bad on your cardiovascular system

@@ly5504 if you're talking about CAC scan, yes, I agree. I had one done a year or two ago and my score was zero, which surprised me. But I'm not complaining! Of course, that's not the only way that people can have a heart attack, just one area to check.

Apo a1/B ratio give u a better u understanding cuz Apo A1 have the HDL fraction into account. Is also cheap

What is TLDR?

and what cause insullin resistance?hyperlipidemia so

@@i.loveyou Sugar.

​@Thebe Kgositsile high triglycerides are caused by liver conversion to fat from carbohydrate as well as inability to dispose of fatty acids due to high insulin (also a result of too much carbohydrate). The result is high LDL dwell time and athrogenic particles.

I don't know of any data that says higher cholesterol does not increase risk if insulin resistance is not present. In fact I'm sure there is plenty of data to show the opposite, so your "only if" statement is wrong.

@@headholio Insulin resistance leads to more OxLDL, why are we still discussing this subject which has already been 50 years outdated?

I got lost in the weeds! ;-). I don't have any scientific background at all and find him very difficult to understand- I know he has a lot to offer me- someone with diabetes and metabolic issues- but I feel so lost when he speaks. I thought the "ratio" was what was important. On my labs (yes, I guess they don't matter?), my LDL is extremely high, my HDL was decent enough as I recall, my triglycerides were just fine. My ratio of "risk" was not high but cardiologist freaked , especially since I am trying and failing to do LCHF diet. I don't know where to go to find information like Peter's that I can actually understand.

@@debra13 Short answer. Eat a low to no carb diet. Eat fatty clean meat in ratios your bowels need to operate properly. Stay away from all sugars and processed edibles. Don't worry about cholesterol. Personally I need allot of fat to keep my energy level high enough. Triglycerides have never been lower.

@@debra13 look into Dr. Berg's podcast info. It's fairly simple to grasp.

@@dieselbourbon3728 none of that is recommended by Attia though so why offer it as a translation of what this video says?

I would say that Dr. explains in the most understandable way.

It doesn’t get rid of it all.

What does her diet consist of?

This subject is so confusing to me. My doctor just put me on atorvastatin for my cholesterol. My LDL is double what it “should” be. I hate taking meds and would love to drop this statin. When is a statin needed and why?

@Matthew Eubanks , you need to look at the hld number and the difference between ldl and hdl. The healthy doffere difference is 10-15. If it s close to 40, then you are pushing it. This number shows your insulin resistance. Avoid statins at any cost. They destroy your body. My mom bis taking them. They create more harm. Find a holistic doctor who understands the power of fasting .

The whole video was just explaining biology in a way that was neither overly dumbed down nor overly technical. He hadn't even gotten into statins or the real or imagined negative effects on your health if it's high. Just explaining what cholesterol is. I was prescribed Crestor and it's not due to, "cholesterol BS". It's not "destructive to the body". Those are both conspiracy theories of your own devising. Neither idea will improve your health and you might have a stroke someday if you ignore your lipid panel thinking any criticism of the results, are s a big pharma fear based scam to get people to buy more pharmaceuticals. I'm refusing to take the Crestor because I don't think they had conclusively proven that my LDL was at an objectionable level due to my perception of the tests having been bungled: they hadn't told me to fast or how close to meals I was supposed to have blood drawn. It changes a lot throughout the day. In fact, I have given a bit, to both sides. It's neither a huge health issue for me, nor should it be ignored.

Because this wouldnt sell drugs to lower cholesterol, AND cause muscle issues, memory issues, and diabetes/cancer. Its a limitless market

I hear you! I share the same experience... I think the problem the doctor faces is whether or not it is necessary to put you on a statin coz once they do, you're on the pill for the rest of your life....well atleast a good doctor will actually do this.

@@Arunkumar-bg5xk And once you get on the Statin, type two diabetes is just around the corner, and diabetes brings heart disease with it. So obviously this is the wrong approach. Then there are some new medication‘s which have not proven a mortality benefit which will get the patient on the liver transplant list. So it seems the diet and exercise, whatever that might mean for the particular patient, is the only viable way forward

@@danielmccarthyy you may already know this Peter Attia's whole approach to longevity focuses on exercise as its centerpiece.

Cholesterol 'medication' is like the corona virus 'vaccine'.. made by humans to sell for profit.

@@eswaribalan164 uh... no

How about ALL sugars? Added sugars are killers.

We have literally antibodies against those removing them from the blood under normal circumstances. Just during arteriosclerosis the antibodies somehow are making it worse. The damaged LDL also are produced by artheriosclerosis, not cause it.

Could you give a summary of what he s trying to say??!!… I m actually still confused 🤔

Good for you my Dr. also wanted me on statins, NO WAY

what i learned is that this particle is bad only if oxidized or glycated which can be due to chronic inflammation, high blood pressure or too many carbs

yes please address this question. I currently understand that the ApoB is the point at which the problem occurs and not the cause of problem. So sure. . .more ApoB. . .more opportunity for problems. The cause of the problems is not ApoB but rather glucose spikes which cause glycation followed by oxidation of the ApoB which is guaranteed with high oxidation from diets high in seed oils. Depleted LDL's are normally recycled via the liver. The liver has ApoB receptors to facilitate this. Glycated/Oxidized ApoB's are unrecognizable to the liver, therefore the amount of oxLDL's become elevated. . .and cause problems.

@@richardelson2179 what i assembled is that indeed LDL-p tries to protect actually the damaged endothelial cells with the transporting cholesterol however as you point out i'm pretty sure that the fireman is NOT the cause of a fired-building just like the LDL-p in this case. So i would assume that for a healthy endothelium wall that particle was NOT designed and not evolved during 350.000 years such that it produces more harm than good. I struggled most of the time to lower that apoB particles however i don't think that's the approach since i was eating many carbs as well which on the long run can produce glycation which in the end i don't want to end up with since i assume even a "NORMAL" level of apoB with a damaged and inflammed endotelium walls can penetrate and produce deposits/foam...immune responses. from what i learned there are the 2 kinds of damage that a particle can be harmed: oxidation + glycation. so i would assume even in a moderate apoB levels if one has an inflammed wall from a protective perspective the particles would penetrate those cells. true for the last statement as from what i also understood from Peter's long educative lessons however for a non-affected non glycated apoB i don't see any problems. i m using my car on needs, i put gas on it(that could kill me when leaking...) but if everything is in order i can run fine with it....

yeah I want to know too

Me too. I don’t do low carb, but am a faster. Always does a number on my cholesterol.

This is me!

what is a TLDR?

@@debra13 To Long Didn't Read

touche it seems that only the high blood pressure arteries are prone to CVD not the ones with low pressure -returning blood with co2. and even mr thomas dayspring stated that if your endothelium is hard like a castle fence there’s no penetration…

When I cut out red meat my cholesterol came way down 🤷‍♂️

@@Seanonyoutube Exactly, that's the whole point of the video. You have been duped into worrying about your cholesterol, while you should really check your apoB, as Peter so elegantly explained.

@@kinwin2003 but whenever my LDL goes down, so does my Apo-B 🤷‍♂️

Bart Kay is a nutritionist and does response videos. But he portrays a character who cusses as entertainment, and that channel has the most subscribers. His other strictly professional channel doesn't have as many videos or subscribers. If cussing doesn't bother you, I'd suggest checking out the videos to see if any are what you're looking for.

Did you just cut red meat or other stuff from ur diet? If you cut out sugar or lower carbs it will also make ur LDL go down. Lowering the inflammation in ur body helps.

Oh dear, if this is "dumbing it" I am an idiot, and I have 2 Master's ;-). But in English and Social Work. lol

Damaged artery needs repair....LDL wants to repair and digs in to patch....then cascade of immune cells pile in to form plaque....If there is no damage to artery, then LDL has no reason to dig in to repair...statins block VLDL in the liver before it even turns to LDL...also blocks COQ10 which is also needed in every cell..

Good question which is not addressed here as far as I can tell. From what I've read the cholesterol oxidizes and calcifies which is what adheres to the artery walls. I still don't know what causes the oxidation but it could be excess glucose in the blood and so the theory is that high carb diets and not fats cause plaque build up.

Simply too much of it. We can't metabolize cholesterol, we only can get rid of it through cell loss or via making bile acids. Macrophages in the arteries gobble up lipoproteins, but can't process cholesterol, and end up accumulating it. HDL can return some of it to the liver, but if LDL is high, then the accumulation occurs.

@@director2345 This is nonsense.

@@erastvandoren Not sure I'm buying that. If the vessel walls are not inflamed, any lipids flowing by should not imbed themselves into a vessel.

right. I think you're saying if someone has high density mental capacity they are not going to watch a video like this.

seriously, huberman does that too

He doesn't want to give medical advice because there is a nuance to everything. Just measuring apob is not always enough to determine your risk for cardiovascular disease.

@@xmazurx Yeah I can respect that. It’s kind of a shame that there exists in this culture where everybody hast to make a disclaimer that they’re not giving medical advice. I realize the stems back to the whole litigious nature of American society with all the lawsuits and nonsense but in my perspective if somebody follows advice given by anybody, whether it’s from a KZfaq channel or some blog post, and something bad happens that’s on them as their responsibility to make the choice. Anyway, different subject different discussion I suppose :-)

Plant-based diet, exercise, amla, nattokinase.

@@ColinMcRaeVIT Actually, you will get your monetization cancelled if you give out medical advice. Thank google for that.

@@xmazurx😊

Generally speaking, arteries don't "calcify" - embedded, pre-existing, soft plaques calcify within the arterial walls. Calcified plaques are actually quite stable and are unquestionably preferable to soft plaques which can rupture and cause massive damage. One of the ways statins help is that they aid in the calcification of soft plaques, thus stabilizing them. However, their ability to do this is considered to be only moderately effective.

Did they seem to work well?

@@blanco36 The notion of statins being the cure all is now mythical. They are not worth it for most people, but not all. There have been recent clinical trials and studies that are exposing the lack of benefit of statins. Especially when applied to Absolute results versus Relative results. A big difference. Unfortunately, many physicians discover an issue with their patient and immediately refer to a recipe book to see what kind of medication to provide. A big industry for physicians and pharmaceuticals. The word Doctor means "to teach" which does not happen much.