I literally laughed out loud at the “Horatio” thing

Hes right. I had a 0 CAC score but a soft plaque with a 28% stenosis. I let myself go and got fat. Back on the plants and excercise now. 100% plant based im not cheating at all

Mike, I commend you for attracting so many low carb dieters to your channel. As a vegan, it’s always encouraging to see the message have such outreach, even if the response is sometimes negative and/or argumentative.

Man…. There are so many seniors in my community who have decided to go on a carnivore diet. So scary. There is this “functional medicine doctor”, code for chiropractors rebranded, who is putting a bunch of 65+ people on this. It’s a train wreck. Just to clarify, I have nothing fundamentally against chiropractors. It’s just that some of these people basically think they are seeing a doctor. Plus, the business model is super sus. Some of these guys want $7,000 USD up front to start your treatment plan. Before you even know if anything they prescribe works for you!!! I guess the real rub for me, is that they a beating this drum about allopathic medicine being money hungry, disingenuous, and fraudulent. They are doing the very things that they are accusing others of!!!😡😡🤬🤬

Omg when the guy’s calcium score went up on carnivore but the “carnivore doctor” said it’s a win? These people are on another level

I am not a vegan but I do love your show because you really do your research

I'm so glad you did this video. I've tried to address this a few times in comments and even interviews I've had with cardiologist but it never seems to pan out right. You nailed this. It's my understanding the calcified plaque is a last stage of lesion and plaque development promoted by macrophages. Which essentially you said they're not old enough to have a calcium score yet. Which is one of the main problems with people getting excited about transient results implementing deadly death based elimination fad diets. People don't understand the chronic diseases they're setting themselves up for that take time to develop like cancers, heart diseases, neurodegenerative diseases, etc.

The recent study by Dave Feldman showed no significant differenece in arterial plaque (either Calcified or Soft) between a cohort with an average LDL of 272 and another controlled cohort with an average LDL of 123 with an average age of 55 over a 4.7 year period.

I've been watching your videos for years (subscribed, of course haha) and I think you do great work and your ratio of serious facts versus serious jokes is optimal! Keep doing what you do, Mic!

Good video Mic, thank you

This is great stuff Mic.

That segment with Dr Ovadia and the young guy with the high CAC score is terrifying. Surely this is gross malpractice. Those people are putting so much trust in him, if they dont come to harm it would be a miracle.

I work at a cardiologist office. One doc told me you can have false negative result if the plaque is evenly deposited as the imaging is looking for areas of higher plaque. I’ve also seen high scores show non-obstructive cad in a catheterization, but that just means for the time being. It has to be monitored…and patient needs to change their lifestyle and take medication if needed. I’m not a vegan but I love your videos!!

Excellent content!

I enjoy your videos! 🕊️💕🌱

Great info!

"Diet of meat, organs, fat, and salt"🤢 how would one bit feel like absolute crap on that?

Great video, again.

Great breakdown!

Cool video, thanks for this. ❤

Spot on, thanks for always stating the facts and truth!

I'm glad you made this video Mic.

Also, a certain keto KZfaq chiropractor comes to mind .... 🤔

The increasing calcification of the arteries with age is a side effect of reduced kidney function. While GFR decreases with age, also the kidney tubules ability to excrete acid decreases. The kidneys breakdown glutamine into ammonia and excrete it with H+ as NH4+ taking H+ and glutamine out of the blood and creating bicarbonate HCO3- and moving it into the blood. Bicabonate is the serum and interstitial fluid's main buffer and neutralizes metabolic acids and dietary acids. Animal proteins contribute the most dietary acid when amino acids breakdown, particularly methionine and cysteine the breakdown of which produces sulfuric acid. When the kidneys can no longer provide enough bicarbonate, it must come from injecting extra acid into the stomach a process that also creates bicarbonate for the blood, and/or the breakdown of bone to get carbonate from the bone which can neutralize metabolic acids. This also releases Ca++ ions and Calcium phosphate which makes up about 85% of bone mineral. The calcium that gets deposited in the heart arteries is matched with phosphate deposits giving a pretty good idea of where it came from. The biochemistry of dietary cholesterol and LDL is very different from the physical chemistry of aging kidney calcification . So aging is a big factor in calcification. But so is a diet that overwhelms the kidneys with more acid than they can eliminate. Animal protein is the major source of acid in the diet. The Potential Renal Acid Load (PRAL) of the diet estimates how much acid is being ingested each day. A diet of Fruits, roots, greens and beans has a PRAL of about -90 mEqs or a contribution of 90 mEq of bicarbonate. for 2000 kcal. A diet of 2000 kcal of steak with fat eaten has about 113 mEqs of acid. I've seen a study where a large young man's kidneys could process about 75 mEq of NH4+ per day but was also excreting about 20 mEq of Phosphoric acid. The phosphate was likely coming from the bones because the kidneys could not excreet any more than 75 mEq of NH4+. More than that would be quite a challenge for the kidneys. When given 150 mEq oral bicarb there was no longer any phosphoric acid excretion and NH4+ dropped to as low as 9. Eating 2000 kcal of meat will likely wear out your kidneys prematurely while continuously etching the bones. Eating beans, greens, fruit, and roots will provide a large amount of bicarbonate to the system and let the kidneys relax. However, the problem is not just the bones, systemic acid indicated by a blood total CO2 or bicarbonate level trending below 24 stimulates cortisol which in turn increases ubiquitin mRNA and ubiqutin production. It is a protein that tags other proteins for destruction. So even low level acidosis increase lean mass protein breakdown, hence the combination of osteoporosis and sarcopenia in old age. A good place to start reading on Diet, Evolution and Aging by Frassetto et al. www.komstar.ch/files/images/forschung/sbm/pdf/cms_4188c82f4434f.pdf For information of the potential renal acid load of the diet see Remer and Manz www.sciencedirect.com/science/article/abs/pii/S0002822395002197

Sorry as an Aussie can I just ask if “naaauur” was supposed to be “nah?” Lol 😂

what a fantastic video!!!....and I love your hair cut!

Ty❤

In the clip about the dude with the astronomical CAC score, I wonder how much of the "improvement" from 98th to 90th percentile simply has to do with moving up in age bracket - a score of 731 was 98th percentile in the 46-50 bracket, and a score of 854 is now "only" 90th percentile in the 51-55 age bracket. So, even after many years on a supposedly "healthy" low carb and carnivore diet, this guy STILL scores worse than 90% of 51-55 year old men, most of whom have been eating a totally crap SAD diet all their lives and nearly half of whom are clinically obese. The idea that anyone can sit there with a straight face and tout that as a selling point for a carnivore diet is mindboggllng!

There is doctor that want not to see their patients coming back, and some want them to literally die

Excellent vlog as-always, Mic; thank you! So, in the vlog you said that the image of you with your short hair made you want to cut your hair, and so, this is the only reason I'm mentioning this, but... I think you look very handsome now, but... you looked really handsome with your short hair. Again, only mentioned it, as you mentioned it! :)

Recently had a friend who eats meat with every dish have a heart attack at 36, I honestly wish the dangers of this approach was taught in classrooms. His not academic in slightest and system has just set him up for meat is fine attitude. His a great father too but his child will be in exactly the same boat until governments grow some balls and advise of dangers just like smoking. I know it's tough to question and fight these massive profits industries but it's literally killing people blindly.

I got a score of zero. I would have been pissed if it wasn’t zero, but I know I can’t eat with impunity just because it’s zero.

Great review, learnt so much! Thank you for everything you do! I wondered why other 'science' channels did not mention the age issue, when talking about the zero CAC score of the new LMHR trial (not a rendomized trial, btw). They think they are safe with extremely high LDL, because 60% kept CAC score 0 for 4 years of the trial. I did not see anyone mentioning the ages of the participants, which would be my first question. I don't know if they measured soft plaque in this trial. And as I understood it, the way statins work is by turning soft plaque into calcified plaque, and in this way preventing risks, because calcified plaque is more stable. (I don't know if I understood this correctly).

Well made😉👍

My CAC is 391, but I'm 70 and had hyperlipidemia. I didn't start taking statins until it was too late. Even as a vegan my LDL was 275.

Vegan for 7 years, and I have genetic Hyperlipidemia, so my LDL is 217... Also my ratio sucks, it's ridiculous. Imagine if I was SAD or Carnivore? I'd probably be dead.

Hey Mike, besides the trip will you have a fans meetup in Costa Rica? I'm sure there are plenty of people over there who follow you, me included

Often thorough Mic!!

I listened to a podcast recently and the doc said low CAC scores are more meaningful at older ages. A zero score at age 70 is positive while a zero score at 30 is insignificant. However, a high score at 30 is a major red flag.

Thank you for your job…..🤗

can you easily do a checkup that shows soft plaque? I would be more interested on doing that test over the CAC since most heart attacks are caused by soft plaque

Even though there is a clear etiology of pandemics and disease for hundred's of years directly tied to Animal consumption, the denial rolls on. Truly SAD where humanity is going. Shawn Baker? I'll get my health advice from a 5 year old.

You should talk more about apoB instead of ldl as apoB is a better indicator of heart disease than ldl.

Come on Mike. I know you must have seen the LMHR report just released, and these people had ct angiographies, and results showed no atherosclerosis.

it makes no sense that one can have a calcium score of zero and have blockages. The CT scan which is the calcium score. Would see all hard plaque which there would have to be if they are blockages, unless there’s a sudden clotting cascade in the coronary arteries

Please don’t come to Costa Rica. We’re fine without you. 😂

I eat a whole foods diet, I’m 47 years old and I had a CT scan 6 months ago and my score is 0

Very interesting! Especially after I just watched "Widowmaker" fearporn movie. What about Dr. Rinse formula (lecithin + linoleic acid dissolves arterial plaque) and Nattokinase (plant enzyme which digests lipoprotein to remove artery plaque.)

I know a dude in the gym, he's 63, and pizza and junk food are a regular part of his diet. His CAC is zero. Therefore pizza and junk food are ok to eat regularly 😉

I wish I could go Vegan but sadly I can't eat fiber and I can't eat soy, corn, gluten or many other fruits and veggies. I have a bad case of IBS-D and plants and grains make me very sick. I have no other options other than to eat animal products or starve and I'd rather not starve.

Paul Salad-no is now Salad-yes? 😆

Shocked that baker and saldino could get it wrong. Aka the ortho who lost license and the guy with psych degree.

Did you see the LMhR study data with people who had more plaque had lower average LDL in both cohorts? And one of the creators of the study said that he was able to raise his ldl eating vegan for a short time. When the meat industry does that study it’s going to be a riot

Carnivores: Hey, my arteries are filled with blood-like-puss, but it hasn't calcified yet, so i'm good!

I have a question ? Anyone can answer ! Could a middle age man ( 51) have atherosclerosis if he’s frequently doing high intensity training with zero discomfort and blood pressure of 110/70 resting heart rate of 42 ?

I would prefer to have 25% stenosis with calcified plaque than having a zero sore with vulnerable plaque. CT angiogram is the only real way to see how you’re going.

The flip side should also be discussed. If you go on an Esselstyn/McDougall whole food plant-based diet (no oil), your plaques are likely to calcify. (Some may reabsorb and vanish entirely.) Calcification makes the plaques far safer and unlikely to rupture. But your CAC score will go up. The overall conclusion is that the CAC test must be evaluated in conjunction with the diet the person is on. The number apart from this context is useless. A lot of cardiologists do not recommend the test at all.

I wonder if meat 'accidiy' could actually reduce the CAD score or at least keep it low.

As a diabetic can I use a vegan diet?

In the end, the suffering animals will get their revenge.

“Not a Mexican guy” 😂😂😂

Well it was a CT anguogram measuring soft and hard plaque. Let's see yours

Is it true that D3 5000 can promote calcification of blood vessels?

Can middle aged people with heart disease do high intensity interval training without discomfort ? it’s the best way to know if you have heart disease if you’re over 50.

i want to start seeing massive lawsuits on baker, saladino and kenberry

🙏🌞

The doctor in scrubs seems to be thinking/speaking very slowly, it seems like something is wrong.

Looking at dr Baker md im sure he's got a heart attack waiting to happen...I don't think he looks healthy

Hi Mic, I recently found your channel. I love the scientific approach of your responses and arguments, cannot have enough of them, although I do have to say that the highly subjective ethical or moral views to this topic do not play in favor of making veganism more attractive to a general public, things like "cheagans" or "ethical" vegan for example, again, way too subjective and maybe even judgemental. The latter is what should be avoided when trying to convince sceptical, neutral people rather than polarize them.

7:10 RNR lmao 😂

I simply don't know. Generally people who die from heart disease have other conditions, like diabetes, obesity, etc, etc. Old studies don't look for this fact. You hardly will see healthy people. We recently had a study between healthy people and the results are great. I don't believe carnivore diet is the optimal diet, but it certainly is nearer than most.

These carnivores obviously need to eat more bones.

Some humans are delusional 😂😂😂

Dr Alo discusses this on his Apple Podcast in regard to the recent LMHR data: episode DEC 10, 2023

HahAhahah yeah Australians always go Naurrrrrrrrr. You can count on it.

Wait a second.. "former carnivore" paul with salad in his name is now putting salad in his game?

Please keep eating grass but leave some for my cows 😂

Mic the Vegan, come for the health information and stay for the terrible jokes. 😂

Lots of flat-earthers in the comments (science deniers)

I’ve seen vegetarians with very high cholesterol

Just keep getting boosters and eating fried seed oils ❤😂

I'd like to see a full video on Olive Oil! I'm open to your perspective that oil in general is bad but there seem to be so many studies showing benefits that I think this warrants a full break down. At least I'd love to see it :D

This guy does not look healthy.

I didn’t know he was a cardiologist 💁🏻‍♂️

Hey Mic, eat some steak, you look like you're dying alive

Dude you're an epitome of health! Your eyes look so vibrant and energetic, you're a god amongst men. 🤩

💚🐾🌱💚🐾🌱💚🐾🌱💚🐾🌱

Finally yes . Thank you very much they act like calcium is the only problem lol

Dave Feldman's study showed that those on a keto diet with extremely high LDL didn't develop more soft plaque than omnivores either

👍👍👍👍👍👍👍

Why are vegans so pissed and edging all the time? What the doctor meant was the progression of the CAC was quite good, as CAC will increases averaging 10 - 25% without any significant changes on the person's part.

What did vegans eat during the ice age?

All these horror stories of young people and high cac scores, many of them have high lp(a) and lp(a) doesn’t care if you’re a vegan or a carnivore .not saying that lower ldlc won’t mitigate lo(a) slightly but there’s always more to this story. So,e also, naturally, have FH .. which is also difficult to control without drugs.

"Mainstream Cardiologist"

Carnivore is a troll diet

93% correlation of CVD with diabetes

mic the vegan speaking fax again damn

I would like to add to this conversation that wheather a person is Keto, Carnivore, or Vegan I hope that people dont eat the processed food that is created for each diet. I recently viewed on youtube a 33 yr old Vegan die from cancer leaving behind a husband and 2 small children. I kept posting on her channel for her to stop eating the processed vegan food. Cancer thrives on sugar...all forms of sugar and carbs.

When CAC = Caca.....

Thanks. Yes, as the video concludes, starting young we should consider other factors especially LDL levels. Dr John McDougall says the calcified plaques are like old scars, stable and not dangerous. An anti inflammatory diet and lifestyle (including not having diabetes or pre diabetes), normal blood pressure levels seem to me to important preventive steps.