The Insulin & Heart Doctor: The Fastest Way To Burn Dangerous Visceral Fat. This is How Insulin Is Quietly Clotting Your Blood! - Dr Pradip Jamnadas

Transcript from https://podmenti.com/t/46ba61f5863d070a

If you have a belly sticking out, you have a problem.
The fat that's in the stomach that's called fat. This is very detrimental fat. And that's the epidemic that we have today. But the only thing that'll make you lose that fat very quickly is Dr. Pradem Jamnata is a world leading cardiologist who has treated more than a quarter of a million patients.
With chronic heart disease. Now he's using his voice to help millions more prevent ending up on the operating table through simple lifestyle techniques. This is crucial.
Glucose actually is toxic inside the bloodstream. And the body pours insulin into the bloodstream to push glucose out. But frequent consumption of carbs, sugar, processed foods is causing insulin to stay up, which can lead to insulin resistance. And you're gonna be more prone to heart disease, which is the number one cause of death all over the world right now. But this is the fastest.
Because after twelve hours, you start pulling the fat out.
And the first place the fat comes out of is gonna be visceral fat. But with modern living, we have lost this physiology of fasting.
So we'll go into that. And there must be certain things which people aren't aware aren't healthy. As it relates to my cardiovascular health. Yes. So I see that people who overly do aerobic activity they end up with more coronary artery disease than patients who do short sprints and resistance exercises. Then
It's mold and almost 70% of homes these days have some form of mold toxicity in them. But also one night of bad sleep, you become insulin resistant the next day. And there's calcium supplements excessive fruit. White rice White Rice. You'll be surprised how much arsenic there's in rice these days.
I watch a lot of true crime, people kill each other with arsenics. Yes. And it'll slowly kill you. And lastly, this is gonna surprise you.
J me thirty seconds of your time.
T thanted. The first thing is a huge thank you for listening and tuning into the show week after week. It means the world to all of us, and this really is a dream that we absolutely never had and couldn't have imagined getting to this place.
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Thank you.

Paddy Gymnotis.
What is it you spend
The entirety of your career.
Especially the last few decades of your career focusing on.
Prevention of heart disease.
Which is the number one cause of death.
All over the world right now.
You see the heart is made up of many parts.
So this is important.
It's a pump.
So it's a muscle.
So you have diseases of the muscle.
And it's rampant these days, cardiomyopathy, weakness of the muscle. Then you have the arteries on top of the heart.
And that's called cornery artery disease.
diseases of the arteries, they block up. Then you have the valves.
The valves tend to get damaged as well.
For example, aortic stenosis.
And then you have the peripheral circulation, all the blood vessels that go to your carotids, your brain, your legs, and to all the organs of your body. And then you have microvascular disease.
Which is
The tiny capillaries
That they become dysfunctional as well. What's a capillary?
Capri is the branch of the branch of the branch. Okay, so like the tiny little veins. Spinal ones, yeah. So when they become dysfunctional, that
Organ.
So
Cardiology.
A fix.
All these aspects
And how long have you been operating on people's hearts?
But thirty five years now.
And how many hearts do you think you've treated?
In excess of thirty thousand.
And what what's the age range of those patients?
They were used to be mostly older people, over sixty five.
Now
I would say fifty percent of them are under sixty five.
And fifty percent are over sixty five.
So the demographics is changing. The younger people are developing heart disease.
So the youngest patient you've ever treated?
twenty eight.
And w what was the
Predicament in that case.
He was having a full blown heart attack.
So that means that one of his arteries was completely clogged up.
It had a blood clot in it, there's no circulation past that artery.
And therefore he was having acute chest pain, sweating, blood pressure was low
He comes straight to the hospital, I rush to the hospital, take him straight into the cath lab, and try to open up that blockage.
And we did open up that blockage and put a stent in it and got rid of that blockage immediately to restore that blood flow to the heart muscle.
Yeah.
And at twenty eight, how does one get a heart attack? You said it was blocked up.
There's a lot of nuance in that.
Most people don't understand what a heart attack is.
So in a nutshell I'm gonna tell you what it is.
When you have a plaque, a plaque is a build up
Of a little
Fibrous material inside the artery.
And that doesn't cause a heart attack.
A heart attack is caused when one of those plaques
Cracks.
Now in this diagram, for example, it's showing
that the plaque is closing up the artery and this will cause angina. That means a lack of blood supply over here. So this patient may complain of chest discomfort or he may not complain of chest discomfort.
Because remember, when you have a blockage like this
Only twenty percent of the patients actually get chest pain.
That means that you could have a blockage like this in a patient.
And he may not have any chest discomfort.
And the only way you're gonna pick that up
It's by doing a stress test or a corner calcium score, or some other modality to see whether he has blockage or not.
A heart attack is when a minor blockage, which is not causing much flow disturbance.
Suddenly cracked.

And what happens to the
The plaque that kind that cracks off.
And when it cracks open the blood that's going past it.
sees the crack and wants to repair it.
and forms a blood clot on it. So the final thing that shuts down that artery is the blood clot. It's not the plaque that shuts it off, it's a blood clot.
So a heart attack is caused by a blood clot at the site of a rupture.
And what causes rupture
is inflammation.
Okay, so when people say that
Heart disease is the number one
Killer.
Is it
that process that's causing it alone, or is there a multitude of processes that lead to heart disease?
There's a multitude of things that lead to heart disease.
Look.
So that was a heart attack.
Yeah. Okay.
One.
You're making plaque.
You shouldn't be making plaque.
A plaque is an inflammatory
area inside your arteries, it's reacting to something.
And I can go into the nuance of what's actually what's the body reacting to? What's inflammation? Inflammation is reacting to something. What is that something?
And I think it's important for your audience and everybody to know what that something is.
Now
You got this pimple.
Think of it as a pumple on the inside of the artery.
Now one day when there's enough inflammation in your body systemically, that pimple is gonna crack open, just like a pimp pimple on the skin breaks open.
Now that
R tree has this little pimple on the inside.
And it cracks open and a blood clot forms on it, and that's a heart attack.
So you don't want platformation.
You don't want plaque instability, which is rupture of that plaque.
And you don't want a blood clot to form on it.
There are factors that affect each of these processes.
And all three processes are going wrong today.
N that's why we have so much plaque formation.
And instability of the plaque?
Which then leads of course to heart attacks.
And
Our blood in general we have more coagulation issues today than we ever did before, which means our blood because of inflammation is more ready to clot more easily.
So we having the perfect triad.
It's the perfect storm.
That's why we're seeing an epidemic of this, and that's why we're not making a dent in it. Yes, you can have a plaque rupture and have a heart attack and we put a stent in you.
Okay, that's fine.
But what did we do?
to look at the underlying reason as to why you formed that plaque and why did you rupture it, and why was your blood so clotty in the first place that made you actually seal off the artery?
Is this an an increasing problem?
Yes. It's a
It's a huge problem because those factors have been identified now.
And that's what we go for in my practice. We look for the factors. Why did you make this plaque?
Why is there so much inflammation in your body?
Information is a reaction to something foreign. What is that foreign stuff?
What is that abnormal physiology in you that your body's reacting against? Because that's what inflammation is.
And inflammation, of course, whenever there's gonna be inflammation, there's gonna be increased tendency to make blood clots.
So we go in, we chase
All these things in patients to find out.
And that's the real prevention.
That twenty eight year old that came in.
Um and you treated him.
Was it was that s a surgery you did?
We call it a surgery, but it's not. It's a it's a angioplasty. So we go in from the wrist
Yeah. Or we go in from the groin.
With a catheter.
And we go into the cornerary artery. A catheter being like a tube, or hollow tube.
And we put it into the corner, we shoot the dye inside, we can see where the blockage is, and then we thread a tiny wire.
into that artery through the blockage and then bring in a balloon
And squash the blood clot out of the way?
Restore the circulation.
And then bring in a stent.
opens the artery up, we leave the stent inside there, we remove everything else, and now you have an open artery.
And you have blood flow going down that artery. And what had that twenty eight year old done?
to end up in your surgery.
What were the decisions that they had made that brought them there?
So he was number one, he was overweight.
But he wasn't just overweight.
The overweight was all in his belly.
And he had a fatty liver, and he had what is known as visceral fat?
He was not a diabetic.
But he was a pre diabetic.
That means
He had
A lot of insulin in his body.
And his glucose levels were good. So if you went to his family doctor, they'll say, Oh, you're not a diabetic, your hemoglobin A one C, which is a blood test that you l do for diabetes, is actually okay. But actually that patient had a
very high insulin.
Blood level.
Now insulin
Is a very ethrogenic molecule.
It causes
Smooth muscle proliferation, smooth muscle is in the walls of the arteries.
It causes vasoconstriction.
It makes your blood more clotty.
And it causes inflammation.
So this patient was a pre diabetic.
And this is very important. This is what caught my attention.
Because when I looked at my patients that were coming in with heart attacks and hardening of the arteries
And when I try to identify why they're doing this
None of them were diabetics.
But then I did a glucose tolerance test on them.
And what happened, it was just by chance.
that I happened to have these tests in my office where you can measure the blood glucose. So I had about a hundred and twenty of them. So I said, look, let's just do some random testing on these patients.
And I found that
At least half of them.
had no diabetes but their glucose intolerance.
That means that the sugars went up.
But not enough to make them a diabetic.
But it did go above the normal range.
We did not have insulin testing at that time.
About ten years later we started testing insulin in the office, and I bought a machine for this purpose.
in my office to measure insulin levels.
And life was never the same again.
Why?
Because it's all about insulin.
when it comes to the metabolic derangement. So I found that these patients, the sugars were going up to one hundred and fifty, hundred and sixty after giving them a glucose drink.
She said, Okay.
He's not a diabetic. Look, the sugar didn't really go high.
But when you measured the insulin level
The insulinness of the roof.
So when you say this is an insulin problem, can you explain this to me like I have no idea what glucose and insulin are?
For for any of my listeners out there that have a
inexperienced understanding of these these these terms and what they what they do and mean. It's crucial.
Everybody needs to understand the relationship between sugar
Which is glucose?
An instrument.
When you consume sugar
or glucose. The body has to get rid of that glucose very quickly from the bloodstream because glucose actually is toxic inside the bloodstream.
Even though it is what the body uses for energy.
In the bloodstream.
it glycates all the blood vessels and the walls and the components in blood and the hemoglobin as well. Glycates it, that means the glucose attaches itself to that molecule.
So now that molecule can't work properly.
That is why the higher your blood glucose
All your chemicals don't work well. Your enzymes don't work well, your hormones don't work well.
Nothing works well and you age prematurely because
you're getting glycation. Glycate a glycated molecule can't work normally. It doesn't function normally.
Mm.
So
When you consume the glucose, the glucose has to come out of the bloodstream and how does the body do it?
It sends a message to the pancreas. The pancreas says aha.
I'll make some insulin.
It pours insulin into the bloodstream.
Insulin comes into the bloodstream.
pushes the glucose into the cells.
And where does it push in it?
Into the liver, into the muscles, into every cell in the body, into
Insulin will push glucose out. Now, how much insulin is the question?
If I'm eating
Every three hours.
And I'm consuming glucose or I'm consuming starchy foods or I'm consuming carbohydrates. Now watch where I'm going with this, because you're already beginning to know where I'm going with this.
I'm consuming glucose and carbs every two, three hours. I'm stimulating my pancreas. I'm stimulating my insulin. My insulin goes up.
it comes down, but before he even gets a chance to come down.
It goes up again.
So the repeated consumption of and frequent consumption of glucose
is causing my insulin to stay high because insulin stays a little bit longer in the bloodstream than the glucose. The glucose will come down in about two to three hours, but the insulin stays higher for about four hours.
Now what happens is that you continue this lifestyle for a few years.
Now
The body.
Because these are all hormones.
We'll say, Well, you know, it's
I'm gonna need to make more insulin now. You become insulin resistant. Any hormone that stays in your body for a long time
The body becomes immune to it.
So the next time I eat the sugar, I'm gonna have to make more insulin.
To produce the same effect.
That is called insulin resistance.
So now you got this patient who's been eating
Cobbs.
Sugar.
Processed foods.
What does that mean, processed food? That means foods that are
quickly absorbed into the bloodstream.
Processed foods.
These are products.
Without fiber.
So the absorption is very quick.
So the poor pancreas has to react just like that.
produces a whole bunch of insulin.
And then the frequent eating and the frequent consumption makes you insulin resistant. So now you produce a whole bunch of insulin.
in order to bring that sugar level down.
So then you say, Okay, well it doesn't matter because the insul the insulin is bringing the sugar level down. So what's the harm done? Because your A one C is still good, you're not diabetic.
No, but it's that background high incident
That is destroying your metabolism.
It's that high insulin level in the background. So insulin
Pushes glucose.
Into the liver and you develop a fatty liver.
It pushes the calories into production of new fats around your viscera.
The visra means in your belly.
Around your pancreas.
You get visceral fat.
Now this fat is produced from glucose.
It's a different kind of fact.
Look, if I gave you a high calorie diet right now of all sorts of foods, you put on weight everywhere, okay?
But if I give you glucose, you put it on mostly in your stomach.
And your stomach will protrude.
And that's called visceral fat. It's on the inside.
You can't pinch it.
It's on the inside.
Around the organs.
This
is very detrimental fat.
And that's the epidemic that we have today.
And that's a direct result of eating
You know, starchy, glucose, carbohydrates, which creates insulin, which creates
This downstream effect on the wrong foods?
And eating too frequently. Too frequently, okay. Because remember, it's also the frequency of eating, because before that insulin gets a chance to come down, you're already popping yourself with more food. And hence you develop insulin resistance. You get a very high insulin. It takes this much insulin now just to bring that sugar level down. And then the one day
When you cannot
Control that sugar.
Now that sugar will go out.
And now your doctor will say you're a diabetic. But by that time
You've already had ten years of hyperinsulinemia.
So what happens if by the time you make a diagnosis of diabetes to say well now your sugar is really high. It is high because your body has not had the ability to keep it down. Why? Because even that high insulin
could not keep your sugar level down, you became a diabetic.
you lost that whole opportunity of prevention.
It's those ten years look, by the time you're a diabetic and you come and see Doctor J in his cariac clinic, you already have coronary artery disease.
Like that twenty eight year old.
The twenty eight year old didn't have diabetes, he already has chloride disease.
By the time you are diagnosed as having diabetes.
You already have corny arteries. We have a great opportunity here to actually
Start screening these patients with insulin levels very early on. But most doctors don't have the ability or knowledge to do the insulin level testing.
But it should be done.

I'm thirty three years old now.
W when
Does the damage begin?
It starts right now.
It starts right now.
As soon as you around thirty, you're already starting to have trouble.
You have to but you know
This is what I do.
I don't look at that patient walking into my room.
And if I see that he's got a belly sticking out
Already know he's probably got insulin resistance.
Because all the fat is in here.
Because the fat that's in the stomach
Sideways he looks terrible.
From the back he looks great.
His waste is increased.
Mm.
He doesn't have
All the fat everywhere else in his body, that's the phenotype of somebody who has hyperinsulinemia.
That same person goes on a cruise
he'll come back five to ten pounds more because he's got so much insulin in his body. Insulin is a storage molecule.
Puts everything away.
And it's very hard for him to lose weight.
W why is it harder?
You the only thing that'll make you lose that fat very quickly is to change your diet, of course.
But you have to do fasting.
Because fasting brings your instant limit. See, this is where fasting comes in.
So what does fasting do?
Do you mean fasting or a calorie deficit? Is it or is it the same thing in your view? No, they're not the same thing.
They are not the same thing.
You see, when you don't eat, your insulin levels come down.
Because you're not stimulating your pancreas anymore.
So you wanna bring your incident levels down.
The best thing you can do in the world is to do fasting.
Because there's no look, if I just simply cut down on my calories
Then
There's a different physiology that's gonna take place in the body.
And
When you fast is a totally different physiology.
When you cut down on calories the body senses that this caloric deficit
Your metabolic rate changes, actually slows down.
And
The body will start breaking down everything.
Muscles.
Included.
So you lose fat and you also lose muscles.
On the other hand, when you're fasting
It's a different physiology.
Fasting is I've put on fat, now I'm gonna take it out of the bank.
Now the bank is gonna be available for me to pull out my calories and use it now. And you start burning the fat. So in the first twelve hours of a fast.
You take out all the glucose in the form of glycogen from your muscles and your liver.
After twelve hours?
You start pulling the fat out. And the first place the fat comes out of
is gonna be visceral fat.
That is why
Fasting benefits you so much'cause it gets rid of that worst fat, the fat that is very inflammatory. You see, if I did a biopsy of your visceral fat
Versus a biopsy of let's say a fat from on your bark.
Mm-hmm.
Two different types of fat.
One is full of inflammatory molecules.
The other one is not full of inflammatory molecules.
One is producing interloc and sex
And to in the closest factor
And this other fat is not.
These are two different fat storages.
Visceral fat is very toxic, it's very inflammatory.
And that is why patients who have visceral fat
make all these molecules. So when I do the blood test, I see that oh you've got so much inflammation. You've got interleukin six is high, tumor necrosis factor is high, your CRP is running high.
And one of the reasons for this
is not just leaky gut and other things that I look at, but in your case it is also because you have a lot of ectopic fat.

Topic fact.
A topic that is now we're realizing is not just only around the liver and around your pancreas, it's also around your heart.
So when we look at the
corner arteries and we see all those
Fact.
Around the coronary arteries, you had a very nice diagram right there.
And you can see that around
Each artery.
Is that yellowness?
That yellow is all black.
Fact.
It's fat around that and it's platforming.
It's platforming.
It stimulates bla it's inflammatory.
And now we can do C T scans.
That will actually detect
How much inflammation is in the fat.
Around the arteries as well.
A topic fat
is in the
Around the corner arteries, it's in your liver and in your pancreas.
And it is very inflammatory.
So if you have someone come to you and they're you know, they have that physique where there's a bit more of that protruding belly fat
You said that fasting is a much better approach than just sort of a calorie restriction. I was looking at some studies that said
Research shows that calorie deficits of any kind can reduce fiscal fat, but fasting
Or give it an edge because of the insulin sensitivity stuff that you talked about as well.
What kind of fast?
should one be doing? Because there's so many different names for these fasts. People do these forty day water fasts and they do intermittent fasting.
It's a great question. So there are many, many different types of fasting.
Depending on your goal.
On
what do you want for that particular patient. So if a patient is just simply looking to reduce his
Visceral fat.
Then I start with twelve twelve, which means
Twelve hours.
You don't eat anything, you just drink
liquids with no calories in it.
And then twelve hours is your feeding period.
We start with that.
And we do that for about two to three weeks.
Then we quickly move to eighteen six.
eighteen six means six hours.
You get
To eat.
Eighteen hours.
It's only
Water.
Black tea.
Black coffee.
Green tea.
No calories.
eighteen six.
eighteen six. And then
That's one type of fasting.
Now if a patient is very overweight
A patient has diabetes and your goal is to divers the diabetes, the patient needs to lose sixty pounds.
then those patients have a special type of need.
For them I will take them to
A
Forty eight hour fast.
Once a week.
Sometimes I'll go to a three day water fast.
Every nine days
Every nine days you will do OMAD. OMAD means one meal a day only.
Every day for nine days.
And then you're gonna give me a three day water fast.
Is the same advice applicable to women because obviously they're contending with
a variety of hormone fluctuations and
Eastrogen and I know that the
the the female body responds differently to these kinds of stresses like fasts.
I've been asked that question so many times from patients as well.
Most of the women can actually handle it.
The only women that cannot are those who are trying to become pregnant or or they have um
Are they already pregnant?
I I I think that women are not that different when it comes to the fasting programs. So in my
Experience.
I've been able to get women to fast. I just finished a fast on one lady just now for seventy two days.
Seventy two days.
She was
terribly overweight, she had diabetes, she had hypertension,
Should have a lipidemia.
She was
Having
W hip replacements, knee replacements, joint problems, she had skin problems, and we fasted her for seventy two days. What did she have in those seventy two days in terms of drinks, electrolytes, coffee? What what was she?
Great question. So she would have black tea?
Black coffee?
Water.
And in the water once a day.
I tell her to put some electrolytes in there.
So there's a electrolyte called Lamenti or sometimes I just have to go buy some Celtic salt.
And put half a teaspoon in there.
And once a day you take that.
If you get cravings
And you feel really, really hungry.
Take some M C T oil, a teaspoon.
And put it in your water and you can drink that as well.
Think it's worth saying that.
Probably shouldn't try this at home.
Ladies and gentlemen, because obviously medical supervision's cr critical here. But in the case of that lady, what was the before and after?
Of that seventy two day fast.
So
Diabetes gone.
Blood pressure.
Normalized.
Weight loss.
Tremendous weight loss. I mean, I think she lost about fifty five or sixty pounds.
Okay.
And not only did she lose all that weight, yes, all that weight from her belly was gone,
But even her face.
under the arms. So when you lose weight in a fasting program, it's very different from losing weight.
when you are restricting calories.
You actually retract.
Your
Your skin.
So you get real changes.
In your entire body. These pati I had one patient that fasted for one hundred and eighty three days.
Under supervision.
Okay. So
He went from four hundred pounds to two hundred and ten pounds.
And when he walked into the office you would not recognize that he's just lost all this weight.
Because
He did not look.
Like skin on top of bones and then having to have surgery to remove all that excess skin.
Fasting is a totally different physiology.
In fasting
Yeah.
You you you you the body is doing a whole lot of things that are very different and we can go into the physiology of fasting because that's fascinating. It's a physiology that has not been used.
by us. We've lost it. So one of the things about modern living
Modern living we have lost
this physiology of fasting. First of all, why do we still have that physiology in us?
It's because it's supposed to serve a purpose.
Because we're supposed to be fasting and feasting.
But now we're only feasting all the time.
And we're not fasting.
In order to go back to normal
You should be fasting.
Fasting is supposed to be a normal part of your existence. That's the way you were designed.
Not this modern industrialized living that we've been doing in the last
fraction of a millisecond in the total existence of the human race.
We've changed our lifestyle so much.
modern man has
But our genetics and our physiology has lagged behind.
We are supposed to use fasting and feasting as part of our normal program, as our normal physiology. That's why we still have it. That is why.
After twelve hours, you start making in some more ketones in your body.
Niketones come from fat.
You're moving that fat out of storage. What is a ketone?

ketones. So ketones are a energy molecule produced by the liver.
How does it make it? It makes it from fat.
So the fat gets liberalized and by the way, the fats only start moving when your insulin levels are down. So because of fasting, your insulin levels are really low now, okay? Because you've been fasting, right? So
Now
The fat
start dissolving. So you get free fatty acids. The free fatty acids float into the bloodstream. Free fatty acids are
Fat products.
They float into the bloodstream, they go to your liver.
your liver converts those into ketones. Now ketones are an energy source of the body.
An alternative source to glucose.
So in general terms.
You are either gonna be running on glucose and glucose metabolism
Or you're running on ketones.
Okay. And so ketones basically show up in the
When
Glucose isn't around.
That's absolutely right. So ketones and ketones are actually a cleaner fuel for the body.
And in terms of producing reactive oxygen species in the metabolism, the way your mitochondria work, you actually produce less reactive oxygen species, which is
damaging to your physiology when you're in ketones. And ketones are signaling molecules that also change your physiology in a number of ways.
Number one.
It causes the production of brain derived neurotropic factor.
That occurs under ketogenesis.
Brain derived neurotropic factor, which means that you become smarter
You're growing new cells, your reflexes are better, your visual acuity is better.
Why? Because nature wants you to become a better specimen so you can go out and get your next kill. So why don't we all just stay in a state of ketosis then if it's so
Miraculous.
Well that's a great question.
You don't want to be in ketosis all the time,'cause that's not what ketosis what what our physiology was made for. Because then you'll just be burning fats, burning fats, burning fats all the time.
And that's not a good state to be in constantly either.
So you want to be able to do both. You're supposed to get your current account
And your deposit account.
You're supposed to work with both of them. That's the normal physiology. So
Not only brain derived neurotropic factor increases, but also stem cells. Stem cells are
Amazing.
And
In my patients.
Of course I see
Yeah.
What what is a stem cell?

Stem cells so stem cells are we all have stem cells.
And we all still make stem cells.
And they're produced by the bone marrow.
These are
Purity potent cells. Cells made
that will then go out and become whatever they need to become.
So they can go out into your circulation, become a muscle cell, they can become a retinal cell, a skin cell, they can transform into anything. So what happens, I mean you break your fast.
Uh-huh.
You get a surge of stem cells coming out of your bone marrow.
Some of them become immunocytes. That is why we know that fasting also boosts your immunity.
People who fast get less infections, get less sore throats and coughs and colds and the viruses that are going around.
The immunity is better.
The stem cells are not
I'm particularly interested in the stem cells because

The progenitor cells endothelial progenitor cells.
Progenitor cells are you see, you're always hurting your blood vessels, the lining of the blood vessels, and the lining of your blood vessels have to be constantly repaired. And they be they are repaired by the progenitor cells. When you do intermittent fasting and time restricted feeding,
You will produce more
And this has been shown in numerous studies.
More progenitor cells.
And these progenitic cells go and repair your blood vessels.
So I do what why am I interested in this? Because I'm a vascular doctor. I want my blood vessels to constantly be repairing themselves from the damage that we do.
In day to day life.
So
Stem cell mobilization.
Brain derived neurotropic factor.
Growth hormone.
You make more growth hormone in fasting.
So
When should you exercise when you're fasting?
It
peak of your fast.
So if I'm gonna break my fast at six PM
I tell patients to go out to the gym at four o'clock in the afternoon.
I said, but Doc, how can I do that?
you will find that you will put on more muscle and you will retain more muscle as well.
The fastest way and the best way to actually increase your growth hormone production
When I swear to the
Doctor Stacy Sims, who does a lot lot of um
work on women's physiology and women's performance. One of the things she said to me is that
If a woman in particular
tries to do a work out fasted, the
Body will break down the muscle.
In a woman because uh she said a woman's body's much more the h epiphalamus? It's much more sensitive to changes in
a woman's glucose levels'cause it's trying to defend against, you know, pregnancy and you know, all these kinds of things. So it shuts down the menstrual cycle if there's not enough glucose in the blood and
And so she said for women in particular, you do you do want to have eat something before you work out or it will y your body will
take from the muscle. And it would definitely won't s the body's very sensitive. It won't want to to help you build muscle if there's not enough glucose energy in the body. She said for men it's slightly different because we're a little bit more robust and we were meant to hunt, so
If we were fasted, our body is, you know, designed to
kind of keep up with normal processes to help us complete a hunt per se.
So
I guess I throw this question out to you about about women exercise and fasting. Yeah. I I think that's a great observation. So again, it's what kind of exercise is the woman doing? You see? Now there's two kinds of basic exercises. One is aerobic activity and one is
uh resistance exercises. So and you can also throw into that
High intensity interval training.
Mm-hmm.
When it comes to the training that I'm talking about in a fasting state
I like resistance training.
So in resistance training, that glucose issue is not going to become a problem. Now, if you're gonna put that female patient on a treadmill and make her run for a long period of time, let's say you're gonna make a run for forty minutes on the treadmill, I think that yes, you're absolutely right. You are gonna deplete her glucose and you may cause some problems and then the muscle will start breaking down. But I do believe
From all the experience that I've had with my patients, that when I turn to the hit
Which is
High intensity
Intel training.
All the women do just as well as the men.
Because all you're doing is you're intensely m working the muscles and you're doing some resistance exercise and then you're totally resting as well.
And I see fantastic results with that.
In terms of ketosis,
Do you
Cycle in and out of a ketogenic diet.
And just for anyone that doesn't know what know a ketogenic diet is a diet that's very, very low in carbohydrates, so
Less than fifty grams of carbohydrates a day, typically.
Do you cycle in and out of that diet?
Yes.
Yes, you have to.
Because
I don't want them to stay in a kid's genet state all the time.
So I do, I do, I do. I tell them look look
What is your goal here? What is your goal? If your goal is that okay, I need to lose 70 pounds, then you're gonna do this till you get to your goal. Once you get to your goal, then you're gonna go back to time restricted feeding, which means 186. So you'll still make some ketones. And then intermittently, you can still do a 36 hour fast.
That means
Normal healthy people, you and me.
We should still be doing one thirty six hour
Past at least once a month.
So we'll go to that.
We'll go to that.
Fasting must still become part of your problem. But you don't need to stay in ketogenesis all the time.

That when you are in ketosis, you are
You're also in autophagy.
How much autophagy can you do?
That means you recycling all your
Your particle all your organelles inside your cells. What does that mean in in simple terms for someone that doesn't know the term or talk to you?
Bottom line is
The cell senses
That
There is no new parts coming in here, so it takes the redundant.
Organelles inside the cells
And breaks them down.
packages them up into these little
packets and exports them out of the cells. So these cells, all your cells in the body,
Now a functioning
at a much more efficient level.
So mitochondria.
Also have autophagy.
So you're getting new mitochondria, you're repairing your mitochondria. And you know it's all about mitochondria, right? Your energy, mitochondria are those organs.
Organelles inside each cell.
And we just think of them as only an energy source that oh yeah, my mitochondria they make ATP.
That's not the whole story.
Yes, they produce ATP.
But
They also produce this thing called reactive oxygen species.
And thereby they influence
The metabolism
Of your h of your cell as well. They send signals
They send signals to your
to your chromosomes. So you start producing new proteins, you start producing new molecules. So your mitochondria are very important. If you have old mitochondria, you're gonna have fatigue, tiredness,
But when you get mitophagy, one reason why you feel so good after a fast, because you have new mitochondria, they are much more efficient in producing ATP and less reactive oxygen species. So you have mitophagy.
Recycling of your parts.
Cellular function improves.
Toxins get out of the cells as well.
Tell us.
Do you think there's a
preferable or a best exercise for heart health.
If you were gonna say Steven.
To make you know, my my I think my family has a history of heart related issues. One of my my uncle died from a heart attack. So I'm very aware of
my own susceptibility to heart related illnesses. I think there's other people in my family um that have heart related issues as well.
Is there a particular exercise that is best for the heart?
'Cause I'm guessing resistance training, i.e. strength training.
Might not be there.
The number one.
Recommendation for good heart health.
You mentioned hit. I'm wondering if that's
Yes.
So I'm just gonna tell you broadly speaking what I see in my practice.
I see that
People who do a
overly do a uh aerobic activity. That means they cycle
A hundred miles a day.
or they're running on their treadmill for two hours at a time every day, or they're doing a lot a lot of marathon training all the time, they actually end up with more inflammation in the body and they end up with more corner artery disease than patients who do short sprints
and patients who do resistance exercises and patients who do hits.
So
In terms of cardiology, you look, you need some aerobic training. Why? Because you want to develop some endurance, right? You don't want to be running behind the bus and and get short of breath just in a few hundred feet. So
For some interns you do aerobic activity.
how much aerobic activity, which is running on the treadmill, for example, or just sprinting.
Only about fifteen to twenty minutes.
That's it.
So I tell patients, you wanna run on that treadmill, you wanna bicycle
Fifteen to twenty minutes.
And then you gotta go into resistance exercises. The resistance exercises that I have seen work best in my patients is simple things. You don't have to go crazy. You do flow exercises, use your own body weight.
As resistance.
So you can do the planks and leg lifts and all this other exercise and you can do hit.
But
They have to be very specific.
So you exercise really hard for about
thirty seconds to forty five seconds, and then you completely rest.
For another thirty to forty five seconds.
Okay. And that's allowing your body
to clean up the reactive oxygen species you just created through that exercise. Because your rate limiting step
in cleaning up the metabolic mess that you get when you get too much exercise. It's a rate limiting step. Your glutathione production, your superoxide dismutase production.
These are chemicals that
Clean up.
the metabolic mess that you get when you get too much activity, that's a great limiting step.
So when you rest
You exercise then you rest, you exercise you rest.
you are gonna get a cleaner physiology.

With your patients, how many patients do you think you've treated or worked with in your career?
Ooh.
Uh to the nearest.
Nothing less than nothing less than quarter million.
How
Do you deal with
The heartbreak.
That's no pun intended, but I'm saying
Like how do you deal with the heartbreak of
Watching people's lives.
Either them losing their life or their their lives being changed permanently forever or dealing with the families of of people who le lose their husband or wife or
Or son or daughter.

Especially when we've been trying everything and still things can go wrong.
Based on that I've realized that sometimes you can do everything to try to extend life.
But you cannot life is still finite.
We will pass, yes.
But we want gr better
Hellspan
And we want a longer lifespan.
I want to give the patients
A better quality of life also.
I can't make you live forever.
I will see people die.
Sometimes they die in front of me while I'm even holding their hands.
They'll pass away in the hospital right there.
But what I do want to do
is to give them a quality of life until then that's gonna change. And in all this education
It's all so that you can live an optimal life.
And then
Pass away just like that.
Have you seen many people that made all the right decisions? They were healthy, they
Had a good diet, they were doing exercise.
And they still end up
passing away on your hospital table because of heart related illnesses. Yes.
Yeah. Y typical example of fellow in the sixties, his Connery calcium score was over one thousand.
So you know that's a C T scan that we do.
And it looks at calcium on the arteries of the of the wall. So all this plaque that you you you you you showed, the this yellow stuff, yeah, all that has calcium in it.
So the more calcium you have, the more plaque you have.
So he had a calcium score of over a thousand.
So
Sit down and talk with him and say, Okay, so tell me.
Why do you have all this calcium?
No diabetes, no high blood pressure. Doc, I don't even drink
Айдон ду енітін, а дон смок.
I exercise regularly, I go to the gym and then the question is why do you have all this coronary calcium in your corner arteries now?
And
It turned out
That ever since he was a kid
He had a bad microbiome.
And in him I found that that was the reason why he got it. So he was shocked.
When he left the office
He was totally shocked.
'Cause he thought
That being constipated and having a bowel movement every three or four days.
It's just normal'cause it was always like that for him.
Until I dug into it and found out that he's actually got a lot of
G. I problems.
And that's what probably caused him to have inflammation, and that's what's probably caused him to have coronary artery disease.
That's why he's got all this corner decalcification.
Yeah.
So let's talk about the gut microbiome then.
You you mentioned earlier that that's really pertinent in
Cardiovascular issues.
Exactly why.
And how that happens.
The biggest difference between you and your
outer environment.
is actually your gut.
Not outside your skin.
It's actually the gut.
There's a hundred trillion bacteria sitting in there.
And there's probably four hundred trillion viruses sitting in your gut.
And they're not just hitching a ride for you.
They are there doing something.
This is symbiotic relationship.
Between the gut
And you.
They produce micronutrients which get absorbed into your bloodstream. If the right microbiome is not present,
you are being deprived of those micronutrients. For example, short chain fatty acids, which are special kind of uh thing. But also
They maintain the integrity of the lining of the intestines.
If the lining of the intestines is breached,
then bacterial wall products.
get into the bloodstream and the first place they'll get to is the liver.
Hence you get a fatty liver.
There are basically three reasons for fatty level.
Either you're drinking too much alcohol?
Or you get a leaky gut.
Or you have too much insulin, because the insulin causes the conversion of glucose into fat, right? So you get a fatty liver. When you say leaky gut.
Oh okay so leaky gut is when
The microbiome is dysfunctional. The microbiome that is dysfunctional causes the integrity of your intestinal lining.
To be compromised.
So now molecules that are supposed to stay in the gut.
dead bacterial wall products they call lipopolysaccharides.
They're supposed to stay in the gut, but now
They get into the bloodstream, they go up the portal vein.
And up the portal vein they'll end up going straight to the liver.
And when they end up in the liver they cause that fatty liver.
Now you get this big fatty liver which causes a lot of inflammation. A fatty liver
There's an epidemic of this going on today.
at least twenty five percent of the population now have a fatty level.
And what is upstream from that? Is it is it alcohol and all these processed foods and things like that?
Yeah.
It's basically processed foods.
Sugar.
and licky gut.
And of course toxins, alcohol being the biggest toxin.
Okay.
This is the seat of metabolism.
So as a cardiologist, I became interested in this because I found that if you have a fatty liver
You're gonna be more prone to inflammation.
And you're gonna be more prone to coronary artery disease.
When we fix the fatty level
We change the diet through fat by
by changing your diet and now you start eating real food and not processed foods and products.
when we increase the fiber intake so that the good bacteria start coming back into your gut.
Mm. And when I give you certain supplements to restore
all your nutrition in your body, then all of a sudden
The progression of cornery calcium
Flattens out.
You see, let's say you came to me for a test and I did a corny calcium score and it's five hundred.
And two years from now it's eight hundred.
That means
Wait a second, something's not right here, right?
Your corner calcium
Should not be going up.
Now I can't get rid of the cornery calcium because that's plaque in the walls of your arteries.
But it shouldn't keep going up because one day it's gonna be two thousand. So
How do I follow
How well my treatment for you is is a follow the Conway Calcium score.
And again, the corner calcium score is a marker of the amount of plaques.
Correct.
Around
The heart and in the vessels of the blood.
Yeah, in the wall.
Colner calcium. Like my calcium score is zero. You shouldn't have any corner calcium in the walls of the arteries. So we have the yardsticks now.
We should probably we should probably differentiate between calcium supplements.
And the calcium that you're talking about.
So pertinent.
Calcium supplements actually increase the risk of cardiovascular events.
Calcium supplements should not be taken. The problem is not calcium supplements. The problem is lack of D three and lack of K two.
So we shouldn't be taking calcium supplements. Absolutely not.
After I stop all calcium supplements on all my cardiac patients.
And I tell them you should take vitamin D three.
So you'll absorb calcium better into your gut.
and you take vitamin K2.
Because vitamin K
Two is gonna make sure that you don't get the calcium build up in the wrong places in your vasculature, for example.
Just to give some context to the research, some some large observational studies suggest that high dose calcium supplements
Which is especially um above.
a thousand milligrams a day from pills may increase the risk of heart attack and stroke while oth no clear link.
Yeah.
Okay.
Yeah, no, I look
Also they advise high calcium.
supplements in women.
to prevent ostroporosis, for example, right? And Ostrapenia. And I live in Florida and all these young women they come to me in their thirties, they all have Ostrapenia.
And the question is that they got calcium supplements put inside the milk
In the orange juice has calcium in it.
And they're taking calcium supplements and why would they and they have sunshine.
And why would they have Ostropenia? And the reason is D three.
You need D three and K two.
That's what you need.
It's a hormonal thing. It's not the elemental thing.
So when people are on blood thinners.
Do they typically have low vitamin K one?
If you're taking cumidin, cumadin is a type of blood thinner that lowers your your vitamin K one levels.
And it'll also lower K two. So cumatin will lower K two as well.
So you will get increased coronary calcification, and that's been documented. So patients who have
who are taking warfarin, for example, or cumidin, have been shown to have increased coronary calcification.
Because of
the fact that the K two levels come down as well as the K one levels.
Both come down.
But
So you need vitamin K too.
And do you just do you supplement that or do you get it from dietary?
I supplement it on all my patients because diet comes from fermented foods. And we don't eat enough fermented foods to contain enough vitamin K2.
So
One of the reasons why I do like my supplements is because today's food is not as rich
Yeah.
So we're not eating the variety of foods, but also we're not getting enough vitamin K two in our regular diet.
So if you want to give me advice then on having a great gut so that I don't end up with leaky gut, which will cause all of these downstream effects. What is um what is the advice you'd give me to have a perfect gut?
Number one.
Lots of fiber.
Because the fiber is gonna be
eaten by your bacteria and you're gonna get a wide variety of good bacteria eating fiber.
If you eat a lot of sugar
you'll get bacteria too.
But there are the bad ones. The ones that you don't want. So you're gonna get
A condition called SIBO, for example.
But you wanna eat lots of fiber. So
Because our diets today
Don't give us enough fiber.
I do advise all my patients to take inulin.
with FOS. It's called inulin with FOS. It's a powder, it's a soluble fiber, and I just tell them to take one scoop in your water every day.
Or put it in your
Whatever you're gonna have, whatever liquid you're gonna have. Number two.
Fermented foods.
The fermented foods will give you not only the bacteria themselves
Because uh for example, kefer has so many different strains of good bacteria, but they also have the postbiotics.
What is a postbiotic? A postbiotic, for example, vitamin K2. It's a product that the bacteria make.
Short chain fatty acids.
That's a product that the bacteria make. So you want bacteria, you want good bacteria in your gut, and they will stabilize the ratio of all the other bacteria in your gut.
So the keystone species have to come back into your gut.
I was reading some
research around fiber.
And it says that in the United States
women are forty percent fiber deficient and
men are roughly
fifty percent fiber deficient and in the UK
We're about forty percent fibre deficient.
I don't think people know that. Where do I find fibre? What what what do I need to be eating to increase my fibre?
Fiber is found in anything that's non processed.
Because the very act of a processed food is to take out the fibers so that you can increase the shelf life.
of it. So any processed food, anything that's manufactured in a factory, for example, anything that already comes ready made, they've taken the fiber right out of it.
So
You gotta eat real food. So you're gonna eat real vegetables. And that to a variety of vegetables. You see you're supposed to eat thirty to forty different types of vegetables a a week.
And we don't tend to do that. So you want fiber from a variety of sources. So we gotta eat a little bit of all these different kinds of vegetables, including spices.
They all count as one vegetable.
So that's something I I stress to everybody that you gotta have variety. You gotta have all these different fibers because they will foster the growth of different types of bacterial species in your gut.
What about lifestyle?
recommendations for improving my gut.
Things like stress, uh sleep, exercise.
And it's just
Absolutely important. So
The the the next thing is actually actually sleep and stress because lack of sleep causes a change in your gut microbiome.
Yeah.
Got to sleep seven hours or
A night.
And cutting down on sleep.
is gonna affect your entire physiology and your body and your repair processes and your vagus nerve and your delta sleep and but
Also your gut microbiome one night you get insulin resistance, one night of bad sleep.
You become insulin resistant the next day.
If you're changing
Mm-hmm.
If you're changing time zones very frequently.
The m
Liver.
Dysfunctions.
Then the gut microbiome also dysfunctions.
So we gotta be more cognizant of that.
That
Lifestyle is very important.
And
We have to have plenty
Omega three in the diet.
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No way.
You talk you talked earlier about toxins.
W what do you mean by toxins and how what role is toxins playing in my physiology and my heart health and my gut health?
Yeah.
So And what is a toxin?
Toxin is a molecule.
That should not be in your body. You should not have been exposed to it.
So
Let's take a pesticide.
or a herbicide. These are chemicals.
Which man has made.
And not perhaps adequately tested it in in um
in rigorous studies, and yet these chemicals get into the body. And we know that many of them are oestrogen receptor disruptors.
And that causes inflammation as well.
So
If you look at
Pesticides and herbicides?
We look at plastics.
Forever chemicals.
For example, P Fass and
other chemical BPA.
These chemicals all disrupt our metabolism in our body.
And then of course mold is a toxin.
And lastly heavy metals.
Are toxins.
When the gut
Is not working properly.
You're gonna be more prone.
to toxicity because the gut bacteria normally grab a lot of those things and take them out in your stools. So when we look at toxicity, we look at gut health and the liver health.
The liver is supposed to get rid of a lot of toxins.
But
In today's day and age
Because of the foods that we eating, the environment that we breathe
the environment that we walk out into, we're getting too many toxins and this poor organ here is getting overwhelmed and cannot detoxify adequately.
So
When I do a blood test.
Uine sample and a stool sample.
I get a very good bird's eye view of what's going on with their ability to detoxify and which levels are high.
And I'm finding
That many of my patients
who have gut issues and liver issues are very, very high with not only heavy metals
But they also have a lot of
Pesticides.
Herbicides
And mold.
In the body.
And mold. I'm finding a lot of mold.
And mold.
And all these
extraneous toxicities cause inflammation. Inflammation is a reaction to something that your body shouldn't have.
Where is the mould coming from?
Mold is very interesting. I've only started researching it in the last one year.
Basically
S almost seventy percent of homes these days have some form of mold toxicity in them.
either from previous water damage or exposure
And
Mold is ubiquitous. It's it's just about everywhere.
And it can
reinoculate you every time you're in that environment.
And it causes
Your innate immune system.
To start reacting to it.
And causes low grade inflammation.
In your body.
And when I get rid of the mold, all of a sudden I'm noticing that the patients are not only feeling better
But the rate of progression of coronary artery disease flattens off.
I have this uh steam room in one of my houses and uh
I went in there the other day and I smell I could smell
It smelled a bit funny.
And I recognize that smell from when I was younger as being mold. So I like I Googled it. I don't know, what what is that like earthy, strong, pungent smell in my steam room? I think what's happened is
part of the like seat has come away from the wall.
So it's not sealed anymore.
And I think the moisture has got in there with the water, and I think it's moldy. And uh Chad GPT said to me when I was asking Chad G Pet, said smell near the like cracks.
Yeah. If you smell it if it smells even really strong near the cracks, then that's smelled and I smell it near the crack and it was really, really strong.
I'm thinking oh like so I
Had I not known that.
Would have
been sitting in there thirty minutes a day.
Inhaling.
All of that.
Strong
Mold smell.
And from doing the show I've I've learnt that
the downstream impacts that can have on your body and your cardiovascular health and everything in between is really, really bad. So I
had a team come over and just uh fix everything, repair it and do a deep clean. But I don't think people are very aware of
How mold.
Which we kinda think of as like oh the the the the bread has gone green.
Yeah. Can have a chronic
And also this mold can come in and then become part of your microbiome.
So you can actually come into here. So let's say you get out of this place.
But if the mold is still in your gut or if it's in your sinuses, for example, and you get chronic sinusitis.
you're reinoculating yourself over and over again with this mold. And
This is an area.
Of great interest.
And a lot of research needs to be done. It is real.
And we've known about it for a long time. But the medical profession as a general
has not really taken this and run with it, but it is very important.
And we certainly
w looking at more toxicity in our practice because we find that it is actually more prevalent than we ever ever imagined before. And we know the chemistry.
We know that it causes a
a systemic inflammatory reaction in the body. And it's reflected in the blood work. We see that the CRP is up. We see that the complement levels are high. We see that the certain ratios of certain inflammatory molecules are off. So we do want to treat mold
Um we wanna treat
sources of mold toxicity both in the gut as well as in the sinuses. And
Yes.
People are surprised when I turn that that affects their cardiovascular health.
When we talk about the clogging of arteries.
W why is it that healthy people
still end up sometimes with these clogged arteries.
I think it's because they have
sources of information that we have not identified. For example, we say Oh
You have no cholesterol, you have no smoking, you have you're you're exercising, you're not overweight, you don't have diabetes.
Well then I don't know why you got all these uh
No, there's always if you dig deep inside there's always something.
And we'll find the source of the inflammation. We there's always a reason why you get heartening of the arteries. What's in that list?
In that list is mold.
Mold, yeah.
Licky gut.
Yeah.
Huge.
Food sensitivities.
Oh, let me tell about food sensitivities. So
Another reason for the licky gun
Is that
Certain foods
punch holes into your intestines in a in a in a sense and causes a leaky gut.
And I've had
at least one patient in the last six weeks that I can remember.
No.
Actually has celiac disease.
And he didn't even realize he had celiac disease because he had no constipation, diarrhea
And he
Premature coronary artery disease. And we identified that he had celiac disease, we cut out all wheat from his diet, and that's gonna stop.
This inflammatory process
From occurring. See, it's all about inflammation. We need to get rid of inflammation in order to get rid of coronary artery disease. Any source of inflammation.
Get
Red.
So
If the pesticide levels are high
Herbicide levels are really high.
Get off.
that source. Maybe you may maybe you're living on a golf course and you smell those chemicals every day. Maybe you're using it yourself in your yard. Maybe you have toxicity coming from mold, as you mentioned. But we gotta find the source of it.
So
A thorough evaluation of the gut microbiome
A thorough evaluation.
of toxins in your body and a nutritional status.
Your body is able to work.
And get rid of this type of pathology.
If you have good nutrition.
We don't have good nutrition today. Let's talk about nutrition then. So if I wanted to end up
On your
Surgical table.
If I if that was my goal.
What would you recommend?
Uh.
Eight.
And
Yeah, consumed.
You should eat
Nutrient
Deficient.
Processed.
Foods.
Every day.
Give me some examples of of things.
Pringles and
Correct.
So it'll be
Things made out of
Wheat defined wheat.
Biscuits.
Cookies.
Cakes.
Lots of bread.
Basically
Fast foods.
Foods that come in a box.
Ready made.
Food.
With labels.
Anything that comes in a packet that you open up.
Including some of these
That are
high protein bars or some of these because they have all sorts of other chemicals in them.
And I would have
Lots and lots of um
Artificial colourings in my food.
In all those processed foods.
um artificial sweetness
Lots and lots of diet drinks and sugary drinks.
Orange juice?
Orange juice is is certainly on my list because that produces such a prof
Profound increase in my glucose level and then my insulin spike that I'm gonna get afterwards will cause me to become very hungry three to four hours later.
So
Yeah.
I would not eat real food.
And you'll end up on my table.
Oh the alcohol.
Smoking.
No fiber, because none of those foods will have fiber in them.
None of those processed foods have fiber in them.
Your patients must
come to you at times and tell you what they're doing.
Uh in terms of what they're eating and lifestyle choices. And there must be certain things which
Very people aren't aware.
Aren't healthy.
You actually mentioned bread.
Yeah.
Is all
Bread bat. No.
Not all bread is bad.
Most bread is bad.
I don't mind some sourdough because it's fermented.
So it's gonna get rid of some of those lectins that are already in the flour. So those lectins are gone out because they've been fermented. So it's probably a little bit okay.
But again, not large amounts of it. You know, a slice once or twice a week is fine.
But really it's a survival food. Bread is a survival food, just empty calories. That's all it's gonna do.
Bread.
Is there like one bread which is
Yeah, pure white bread. Simple white bread.
Simple light white bread. It's pure calories. Seventy calories right there. You're talking about just eat have ten teaspoons of sugar instead.
In one slice. I mean it just doesn't make any sense whatsoever. White rice?
White Grace.
White rice is a staple food of many people and they cannot live without it.
So I run into this problem all the time.
So I tell them that this is what you're gonna do. You're gonna first and foremost
Soak your rice in water.
And then discard the water after an overnight soak because it contains arsenic in it and other heavy metals.
You'll be surprised how much arsenic there's in rice these days.
Si, see the problem we have our sourcing of our foods.
I mean here as a cardiologist has to talk to his patients about how to cook rice.
What is R Sneck for people that don't know?
It's a heavy metal.
That is found.
In the soil and the water.
It's in contaminated soil and water and in these paddy fields are now full of arsenic.
It's a poison, isn't it? People I watch a lot of true crime, people kill each other with arsenic.
It's a very, very
Strong poison.
And it'll slowly kill you.
Is there anything else on that list of th misconceptions? So so so the rice has to be soaked, then you'd get rid of the water, then you cook it.
With lots of water.
Throw away the rice again. I mean uh throw away the water, not the rice. And then you cool the rice in the refrigerator.
And then you eat the rice the next day by reheating it. Now what you've done is you've created resistance touch.
Now what's gonna happen is that that rice
Is not gonna have the same insulin effect.
in your body and weight gain effect and changes in your metabolism because it's now got resistant starch. Resistance starch means that those
Molecules have all bound to each other. They don't they resist absorption and digestion until they get to your colon. And then who's gonna eat it?
You're back to it.
So you're basically feeding the bacteria with your rice. So if you're gonna have rice
This is the way you're gonna do it.
Is there anything else on that list that
People
Should be thinking about.
that they probably consider to be healthy right now. Yeah, yeah, yeah, yeah. Yeah. Yeah. So it's also what you do to your food. Look, you take a nice piece of
Fish, for example. And if you burn it.
And you're blackened it really bad.
You're creating what is known as advanced glycation end products.
You fry something, you're creating advanced clication and product. So let me define that for you.
If
Nature does not have the ability on its own.

Glucose.
protein and fat and combine them at very high temperature.
But you can do it in your air fryer.
And you can do it outside.
in when you when you're blackening your food and over blackening your food, it's called advanced glycation end products. So when you overburn your food, when you overcook your food, you're creating these molecules. Now you're consuming these molecules.
And they've been shown to cause a radical increase
in the inflammation in your body. Because your body reacts to those products.
There's receptors to get rid of those, they call ragers.
And they get rid of these products, but you overwhelm them and now you get inflammation.
And is there any other watch out foods that
You know, people think are healthy, but maybe
If if I was trying to have a optimally healthy heart, I should avoid it.
It's just gonna surprise you.
Excessive fruit.
'Cause I'm not a very big
Follow of fruit. Fruit should be eaten only in season.
Because there's too much fructose in it.
Fructose being the sugar's. Fructose is the sugar.
And fructose causes fatty liver.
So our overconsumption of fruit is another
Factor.
that is contributing to corner artery disease and diabetes and fatty liver.
And we think of fruit as being a healthy thing.
You see? But fruit should only be consumed really in the fall.
And in season and in small amounts.
'Cause that high fructose level
really causes
Major changes in your metabolism.
So I'm not too fond of fruit. You can eat fruit in season, small amounts of it.
But you know people go crazy about fruit.
I mean I had a patient who was having mental problems
As well as cardiovascular disease. And he that's all he lived on is fruit.
Morning, lunch and dinner. And the moment we stopped that, his health changed completely. Got so much better.
So excess of fruit.
is also no good. Excessively cooked foods.
processed foods defined products. Another one
Vegetable seed oils.
So any food that you prepare or you buy that contains vegetable seed oils
Is a no no.
'Cause vegetable seed oils are a product.
And if you look
Uh
All of them, they're exceedingly high in omega six.
And the ratio of omega six to omega three.
is what the problem we have today.
We have far too much omega six, very little omega three.
So anything that contains
Vegetable seed all. So I always tell my patients, get rid of that vegetable seed roll bottle from your home.
So what oil should I use instead? The oil
At home, if you're gonna use any oil, is gonna be olive oil, extra virgin olive oil for your
For your salad.
And if you're gonna do high temperature, press a little pat of butter.
Or use a little bit of ghee.
Or you can use a little bit of
Coconut oil.
This is a bit more of a different question, but you said earlier on that when a patient walks into your office, you can kinda look at them
And generally see if their cardiovascular health is intact. And uh yeah, we're generalizing here.
But
If I'm sat at home right now.
And I'm trying to figure out if I'm healthy.
as it relates to my cardiovascular health.
What are the
symptoms of cardiovascular poor health.
Like what throughout the whole body.
What should I can I
sort of s obviously don't want to s anyone to self diagnose at home, but what kind of symptoms should I be looking at when I just you d even when you look at me.
Let's do this on me to make it easier. Yeah. So number one.
Look at your weight.
Okay. If you're overweight.
That's a that's a that that th that's one strike against you already. Number two, if you're overweight, where is it? It's mostly on the belly. I'm overweight.
According to the BMI.
But again, you gotta look at well BMI, you know, is a little crude.
It's not a very accurate way of actually looking at it because some people are very muscular and the BMI of twenty eight is actually perfectly okay for them. It's the constitution I look at and it's visceral fat. Now I can't measure your visceral fat by looking at you, but I can tell if your belly is protruded. Now in my office
I do visceral fat analysis. So what else? I've I've
I don't have a protruding belly per se.
Um
What else should I be looking for to s understand if my cardiovascular health?
Is intact. Is there I know.
Just by looking at you physically? Yeah. No, I th that's it basically. It's your BMI and your overall weight and must not have a belly. Just don't have a belly. If you have a belly
You have a problem.
And what about my joints and stuff like that? Is that an indicator of
Yes, if you have joint now symptoms, if you're having joint pains.
Look.
If you're having joint pains, people think oh it's just degenerative joint disease.
In my experience, what I have seen.
It's all inflammation.
Because when I change a diet
When I fix the gut issues.
When I fix uh the inflammation in the body, they all come back and say the joints got better.
All of them uniformly, especially patients who have autoimmune disease.
For example
Many patients have rheumatoid.
And the moment we change their diet, their lifestyle, the frequencies of eating, introduce a little bit of fasting. So we do everything, right? Right? We've changed the gut microbiome. We've we've
made the liver better by by by giving them some supplements. We do intermittent fasting. We do some exercises. We give them some stress management. We improve their sleep.
All of a sudden.
The joint pains get better, rheumatoid gets better, skin diseases get better, psoriasis gets better.'Cause it's the fundamental underlying part is all inflammation.
This is a random one.
But I'm just connecting dots from different podcast guests I've had on the show. What about Bad Breath?
Bad breath. Bad breath is real.
But what is it is my oral microbiome linked to my heart health?
Yes.
There's a there's a microbiome that goes all the way from your nose
Mouth.
all the way down to the NS. And each one is specific
And can predict whether you're gonna get cardiovascular disease or not. These
Unequivocal data to show that if you have bad teeth, bad dental hygiene, bad bacteria in your mouth,
You're gonna get valvear disease, such as aortic stenosis, premature calcification of your aortic valve, and you're gonna get coronary calcification.
That's been proven.
Unequivocally. Patients who have chronic sinusitis in your so you think that that's benign? If you have chronic sinusitis. What's chronic sinusitis? Chronic sinusitis. Infections inside your maxillary sinuses, frontal sinuses constantly and you get these headaches and and you get the cold and your blocked nose and you you constantly
Yeah.
That's inflammation.
And oftentimes that's also linked.
to premature coronary arteries and inflammation in your body, especially when it's fungal.
There's a condition called fungal.
Sinusitis. Again it comes down to mould.
And this mold it causes that low grade inflammation in your body.
And this has been linked to coronary artery disease. See, what's happening is we're transforming the whole definition of the causes of coronary artery disease.
We have been so myopic.
In our definition of what causes coronary artery disease.
With everything your entire life style.
Mental
Physical eating everything will affect your corner arteries.
Everything.
Everything cool.
Over stimulation. So I mean really mean like
Too much caffeine.
Does does too much caffeine play a role? And I say this in part because I think there's been a few times where I've had like a pre-workout or
too many glasses of coffee and I've got like heart palpitations and you almost like feel like you're dying.
Yes.
Yes, yes. Caffeine caffeine is very similar to the adrenaline molecule.
Now why would you want to have too much adrenaline in your body?
Because then you're living in a state of existential threat.
Constantly.
And then what happens? You don't get the offset either, so you don't get the parasympathetics, you're only in sympathetic all the time. So
All the time.
So caffeine generates that and the physiology it'll do look, caffeine is not as benign as we think it is. Now there's nothing wrong with having one or two coffees a day. That's fine, okay? But I know people who drink about six glasses or six cups of coffee a day and and I think that that's just
That's toxicity, you see?
That's toxicity.
Too much caffeine.
And it's a diuretic.
And a diuretic will cause intravascular volume depletion, and that also turns on your neurohormonal activations, so you become more sympathetic.
You see?
So it's a vicious cycle.
Makes you dehydrated.
I was reading about this earlier'cause I did have heart palpitations one day because I think I drank too much coffee. Um, and
what I what I see here in the research says that moderate caffeine
is safe and even heart protective for most people, but excessive caffeine when you get, you know, above six hundred milligrams a day.
Um can
Raise blood pressure trigger.
Arrythiens. Arrhythmias. Arrhythmias. And stress the heart. Yes. Now I want to tell you why coffee is good. It's not good because of the caffeine.
And so it's not good that oh yeah I'm getting that caffeine so it's good for me. No,'cause believe it or not.
Coffee has a lot of soluble fiber in it.
So there is some soluble fiber in it.
And it has polyphenols.
So coffee has polyphenols, just like how cocoa has. You know, cocoa cacao, eighty five percent cacao chocolate. That's fantastic. It's got soluble fiber. Cause who's gonna consume the soluble fiber? It's actually the bacteria. So a coffee a day is actually good for you for a different reason. It's good because it's good for your bacteria.
'Cause it's getting soluble fiber and it's getting polyphenols, and all those polyphenols are consumed by your bacteria. They c they call cacao, don't they? The something of the heart.
My girlfriend's quite spiritual then.
In her practice, they call it like the heart medicine.
Cacao. Cacao. It is because it has a lot of antioxidants.
And it has a lot of soluble fiber. So wait a second, it's the soluble fiber? Yes, because that's fostering the growth of the good microbiome. The good microbiome is then gonna produce postbiotics and the postbiotics.
are gonna give you all the benefits that you're gonna need. So it's gonna cause less leaky gut, less inflammation, and your enteric nervous system, your vagus nerve.
Your vagus nerve.
It's gonna be protective'cause we're destroying our vagus nerve right now with the leaky gut.
When people get heart palpitations, I imagine a lot of them message you.
Because it's quite scary, isn't it, when you feel your heart beating.
What is typically going on and when is it cause for concern if you've got heart palpitations? Yeah. If you have underlying structural heart disease.
Let's say you have blocked arteries.
Let's say you have a cardiomyopathy, a valvear disease, and you're having an arrhythmia, which is palpitations
That is definitely life threatening. They need to come straight to the office and we need to monitor you and find out what's going on. But let's say you're otherwise perfectly healthy, young person.
Perfectly healthy.
No heart disease whatsoever and you're having palpitations, then it's usually an imbalance of your sympathetic and parasympathetic nervous system.
You're too stressed.
It's basically either too much sympathetic.
Uh
Not too much sympathetic, but you have too little
parasympathetic. And that is one thing that I want people to realize that
If you've knocked your vagus nerve off.
Because you have a leaky gut or because of your lifestyle and your vagus nerve is not working very well.
you will have this imbalance'cause the imbalance is not with absolute levels, it's the relative levels of sympathetic versus parasympathetic. So for example, I see a lot of young women in their thirties and twenties who come to me with
tachycardia. They have a rapid heartbeat all the time, and especially when they stand up, they get a rapid heartbeat. This is called postural orthostatic
Tachycardia.
And when they come to me
I find out that it's actually the gut. I fix the gut and the tachycardia gets better.
Because
By fixing the gut.
I'm fixing the vagus nerve.
By fixing the vagus nerve.
The heart rates come down.
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Let's talk about the v Vegas nerve then. Um
Before we do that, I
had a little a little incident.
actually caused by Jemima, who's out there.
Jmoima.
We were in this little fitness competition and Jimoyma decided that she wanted to beat me and sh so she cycled a hundred kilometers one day.
She cycled for four hours, which meant that she had more minutes in this fitness competition than I did.
So my rebuttal
was to do the same, but more. So the next day I cycled just over a hundred kilometers on my Peloton at home. Funnily enough, it took me like four hours to do it. And then I came off the Peloton, I was celebrating whatever, you know.
On this.
Gold medal emoji.
as my reward that month.
But also I want
hot palpitations that stayed with me for a little while.
And I was wondering like why that happened. So I did this big vigorous exercise, which was kind of outside of my usual exercise regime.
And then
for a a couple of weeks I could like feel these heart palpitations.
And is that because of what you were saying about my parasympathetic Vegas? W what do you think happened there? Yes. Yes, yes, yes.
Over exercise.
This has been shown.
When you do
What you just did.
You're diverting blood from your gut.
To your muscles.
Because your muscles
at that point really need all that blood supply. And this has been well documented.
So what happens when you overly exercise like that, you're causing relative ischemia to your gut.
Ischemia, ischemia. What does ischemia mean? Lack of circulation to your gut.
So your poor gut at that point had lack of circulation.
Relative. Not to the point where it's gonna go gangrenous. No, don't d don't get me wrong. But it affects
Your gut.
And in the gut is the enteric nervous system, the vagus nerve ends.
In your gutlining.
And the vagus nerve got affected. So your vagus nerve didn't work very well when you get
Vagus nerve not working well, you get too much sympathetic, you're gonna get tachycardia, you're gonna get arrhythmia.
Palpitations.
So tell me what the vagus nerve is and what I can do to get my vagus nerve in check.
By the way, J Moyma, it was totally worth it, but
Just tell me what I what I can do to get my Vegas nerve in check and like what role my Vegas Nerve plays. I've got this photo here of the Vegas Nerve.
Yeah. You know, the vagus nervous
Fascinating.
It is the largest nerve in the body.
And
Yeah.
It could it basically is sending messages from the brain
To the whole body.
and receiving messages back.

And the largest distribution, believe it or not, is all in your gut.
No, that tells you something right there that
What is the brain most concerned about?
It's most concerned about the
Most treacherous border in your body, which is your gut.
Your gut health.
is so important.
That the body has dedicated a huge nerve.
Коловегасневча
To take care of your gut.
Because your gut is that important.
That is why.
Yeah, by the way, it also has endings on the heart.
In your lungs.
in your face. So there's lots of endings of the vagus nerve.
And what is it doing? Is it telling is it
Basically the communication channel between

What is going on in the gut.
What should I be doing? Back and forth traffic information going back and forth. So
When you
When you
The body is supposed to be in a state of sympathetic followed by parasympathetic. What does that mean? You run away from the tiger.
You hide behind the rock, the tiger is gone now, and
And now you're supposed to be parasympathetic.
Parasympathetic is the
The relaxation. Rest, relaxation, repair.
Guess what? We're not getting enough repair these days because we constantly in the front fret front fret fright. We never give our chance to go into repair.
That's what the problem with the Vegas node that we have today is. So we don't get a chance. So that is why
Why don't we do that? Well one is our lifestyle.
Two?
Our gut is not right.
Because it has just made our vagus nerve dysfunctional. When I fix the gut, one of the no things I notice is heart rate variability gets better.
What does that mean? Heart rate variability.
That means your pulse?
With each breath in
And each breath out, there's a little variation in your heartbeat.
Mm. That's called heart rate variability.
Now
When you lost your heart rate variability, it means that your vagus nerve is not working very well. All patients when I fix their gut, their heart rate variability gets better as well.
When you fix the gut
your vagus nerve will be able to work more efficiently and you'll be able to repair yourself
After the sympathetic drive. So you get the yin and then you get the yang as well. And the nice thing about the vagus nerve that I find is that you can repair it through the gut.
But you can also hack it.
and you can give it some nutritional supplements.
The nutritional supplements are
Omega three.
Which right now fifty percent of the population is very low in omega three.
And you need DHA and omega three to to to to make the vagus nerve work optimally. You need to fix the gut.
And thirdly, you can
Heck
The vagus nerve. So how do you do that? You do the breathing exercises.
So when you do the deep
Expiration
Yes.
Stimulate all those parasympathetic nerve endings.
And your heart rate goes down, blood pressure goes down.
So breathe in to the count of four.
Breathe out to the count of eight.
Very simple. I tell it to all my patients, breathe into the count of four, breathe out to the count of eight.
It's a deliberately long explosion. You do that for about ten minutes a day.
And when you do that, your vagus nerve.

Stimulated and any nerve that is stimulated frequently enough will work more efficiently.
What about this eyeball thing that I've heard you talk about where you're going to be able to do it
Eyeball does affect the vagus nerve function too. So when you look to the right, look to the left at the top, look down, look left, it stimulates the vagus nerve.
There's a nerve on the ear?
There's also the vagus nerve that can be stimulated here in the neck.
That can be stimulated. The facial nerve also has branches that go to the vagus nerve. So there are a few hacks that people can use. I even have a small contraption that I give patients that wear around the neck and it
it it it releases little signals onto the vagus nerve over here. And I've placed it on patients and they
In front of me.
And you'll see.
Oh my God, I already feel so relaxed and nice. And it's
I was shocked when she did that. I heard you talk about massaging the eyeball.
Yeah.
Yes. And
Cold water on the eyeballs.
So I don't advise massaging too often, but cold water and gentle massage on your eyeballs stimulates the vagus nerve. And you can do it yourself. You'll notice that if you're on a monitor and you do that
The pulse rate goes down.
Dive reflex.
That we have in all of us.
Dive into water.
What about putting
A nice pack on the back of your neck.
I think that's fantastic. Back of the neck but I prefer the front of the neck.
Okay.
'Cause the front of the neck is close, so the vagus nerve is very close to the carotid sheath over here. And when you put ice packs on it, the vagus nerve is stimulated.
Humming for ten minutes.
Ten minutes, both sides.
What you mean by humming, give me an example. Oh humming. Oh humming. Oh yeah. That sound is transmitted
To the Vegas nerve.
So it's like shaking that vagus nerve and it creates electrical impulses uh in the vagus nerve. That's been shown singing.
Singing.
Sign
Humming?
You know that they're laughing clubs?
Maybe you should start a laughing club. Laughing clubs.
Yeah, laugh for no reason, just sit there and laugh. So that diphragmatic movement that
Constant diaphragm movement in laughing stimulates the vagus nerve.
I heard you talk about this falsava maneuver.
Yeah.
What's that?
And then you breathe out, but don't let the air out.
And you're straining.
And that straining compresses the thoracic cavity but also the abdominal cavity and stimulates the vagus nerve.
And that is also
found to be very, very helpful. And remind me again, if I have a healthy vagus nerve, if I have a
calm, healthy vagus nerve. What is the downstream impact gonna be across my life?
Don't seem in fact it's gonna be
Faster healing.
Less coronary disease, less high blood pressure.
Your blood will not be so sticky.
And make blood clots?
Less inflammatory markers.
the blood tests that we do, the interloc and six, the tumor necrosis factor, the CRP levels, uh small dense LDL.
We didn't even talk about LDL, but LDL, the bad cholesterol.
All those get better.
And what is the the the role of LDL as it relates to heart disease?'Cause I've heard this word cholesterol. I really don't really understand what it is, or I know there's good cholesterol, there's bad cholesterol. I know I guess that bad cholesterol comes from fast food and processed foods and stuff.
So
simply what do I need to understand about the role cholesterol plays in heart disease and how to not
Have
Bad cholesterol.
The LDL cali carries most of the cholesterol in the body. It's not complicated.
L D L is what
LDL is a lipoprotein.
Yeah. And you have HDL, which is
Good cholesterol, LDL, bad cholesterol, total cholesterol, and triglycerides.
Okay, these are the four tests. So the LDL is a reflection of your cholesterol.
No
Cholesterol is a normal molecule in your body.
And
You should have cholesterol because if you don't have cholesterol, I don't think you live too long.
And you need to move this cholesterol around your body. Every cell in the body makes cholesterol. Your liver makes most of the cholesterol, actually.
Now what happens is that when that LDL molecule becomes damaged
It becomes a small dense LDL particle.
A damaged LDL?
causes inflammation because now you have a molecule that's floating around your body
It's been damaged.
It's small.
It's dense.
Now your white cells
Your macrophages?
See that.
And want to gobble it up.
That's number one.
Number two, these molecules get oxidized in the lungs.
And then they
The first place they come out from after the lung is the corner arteries. So it's the small dense LDL particles which are now oxidized
they destroy the glycocalyx, which is the lining of the coronary arteries, and they activate the endothelium.
When they activate the endothelium, which is the lining of your corner arteries,
that's when you're gonna start getting atherosclerosis.
So atherosclerosis and Ldl are related, but it's not the
The total cholesterol it's when you have small dense
damaged LDL. So let me explain the impact in my practice.
Patients come to me because
They either cannot tolerate cholesterol medications or they don't want to take cholesterol medications.
What I do then is I look and say, Okay, your LDL
Is it high or low?
Is it is that what I'm really concerned about, or is it that it's small dense LDL? So I do a sub fractionation, and this is important for you to understand because they don't do it in every country in the world. It's very difficult to get some of these blood tests abroad.
But in the United States, it's easy to do it. It's called subfractionation of your LDL. So it tells you whether you have small dense LDL or not.
So let's say you came to me and your LDL is a hundred and fifty.
But if it's all made up of
Large.
Fluffy.
Good.
Normal LDL.
It's not gonna be implicated in your inflammation or in your coronary artery disease.
I leave that alone.
But if you have small dense LDL
That also is a problem.
Because it's pointing me towards inflammation because what causes small dense damaged LDLR
Glucose.
Omega six.
Advanced glycation and products.
Toxins.
And lipopolysaccharides that come from the gut.
Licky gut.
So now I just gave you the primer.
For treating.
coronary artery disease.
These five things.
promote corner artery disease and it's small, dense LDL.
Those macrophages they engulf small dense LDL.
And those macrophages become foam cells.
The endothelium has been
Already
Activate it so they uh
A bind to the endothelial lining? What's the endothelium? The endothelium is the lining of the artery in your coronary artery. So these white cells that are full of
Fat, the bad fat.
Attach themselves to it.
And then become
And the the lize. That means they become part of the wall. So they become a plaque. That's now you got it. That's making the plaque. You just hit it right on the head.
So how would I naturally lower my LDL?
without taking statins or any of these other medications. Is there a way to to do it naturally?
Mm.
You you stay away from from meat, yes. You've gone on a vegetarian diet, yes, it'll come down. But there's no need to. All meat.
All meat because they'll all have cholesterol. Even chicken.
Even chicken. Yeah, if you want to bring it down. But the question is
Do you really want to bring it down? Do you really want to bring it down? Later.
The most recent data is very scary. It shows that patients who have the highest LDLs actually make it into the nineties.
And live a healthier life.
It's not the LDL, it's the damaged LDL that's the problem. So
This
The medical profession as a whole and all of us are having a problem grappling with this. Is it the total LDL that we should be concerned about?
Point to your question.
What is a normal cholesterol?
And should we be lowering cholesterol? And the answer really is not that simple.
What sh we should be doing is not to have small dense LDL. So the question is.
And small than cellular are five things. Sugar causes it, omega six
advanced glycation end products, toxins, and leaky gut.
They make your cholesterol become small dense particles. A lot of people are concerned about eating eggs because they think it might raise their cholesterol levels.
Absolutely no concerns whatsoever. And what about statins? So a lot of people are prescribed statins when they have heart related issues. Are they
Safe.
In the long run, are they effective?
Okay.
First part. Are they safe?
For the most part they are, but at least twenty to thirty percent of patients will suffer from sarcopenia, which is loss of muscles.
So they'll get weakness?
Aches.
Pains?
They'll get
Diabetes.
because it causes mitochondrial dysfunction. So th they'll do a uh sugar uh problems.
And many of them also do develop mental diseases. So I've seen that they become forgetful and they just can't think right and I stop the statins and all of a sudden they start feeling so no.
Not all statins are safe.
You need to monitor statins. Also, they can cause liver dysfunction. So you need to watch that. Number two is
That the statins
Are they effective? Effective in what?
If the
Endpoint is to reduce your LDL. Yeah.
Status will bring you a whole deal down.
But does that translate to a decrease in cardiovascular event rates?
That's a totally different question.
You see? So
Is your goal just to reduce the LDL or is your goal to reduce
The damaged oxidized small dense LDL levels.
And when people say they have high blood pressure
That's because there's
potentially a narrowing of their blood vessels. So the
the the blood has less space to go through, so it's kinda like squeezing a host pipe that it gets it gets shoots out faster.
Is that typically what it means by high blood pressure? Sort of.
Let me explain.
When your insulin levels are running high
All your blood vessels and your caprice all don't vasodilate properly.
Oh, okay, and vi vasodilation is the expansion and shrinking. Yeah. So they don't vasodilate properly. So you will get high blood pressure. So one of the biggest things I've noticed with diabetes patients is when I bring their insulin levels down through my fasting program and dietary changes, the blood pressures go away.

That's another thing. Th there's no such thing as essential hypertension.
Essential appetite meaning that
You just have high blood pressure. There's always a cause. Either you have sleep apnea or you have hyperinsulinemia.
'Cause sleep apnea also causes hypertension. So hypertension does not always necessarily mean that you're gonna be committed to blood pressure medications for the rest of your life.
I've heard you talk quite a lot about breakfast.
People ask you about what they should have for breakfast,'cause everybody wants to know.
Um how they should be starting their day.
What is your advice on what we should be eating for breakfast to have a healthy heart and cardiovascular system?
Breakfast is a tough one.
I tell most of my patients that if you absolutely have to have a breakfast, have a couple of eggs
And
If you are a vegetarian, it makes it a little bit more tough.
Um
But you can have some kefer.
With
Two to three blueberries, two to three blackberries, and about
four blueberries in it. And then you put your
Inulin.

And that's your breakfast. That's all you should have.
But a heavy breakfast and also breakfast.
In my opinion, breakfast should be
We should pass breakfast.
For most adults and just go for lunch and dinner only.
'Cause then you can do your eighteen six.
If you're absolutely gonna have breakfast, then you have breakfast and lunch.
And then no dinner.
But you got to plan eighteen hours. Eighteen hours is optimal and we can do it. A lot of people say they can do it, but most of us can do it.
You will notice how much more energy you have.
You know, when I do my OMAD, which I do at least three to four times a week, which I only have one meal a day.
At six o'clock in the evening, I actually have more energy than I do in the morning.
What does your diet look like?
Doctor. My diet? Yeah.
Yeah.
I
do eat meat and I do eat fish, chicken and turkey.
And but I'll have yeah, source it right.
Always make sure that's grass finished.
Always make sure it's organic.
And I have small amounts of it.
Gross finished, grass fed.
Grass finish.
Grass fed just means they took it out one day and put it out in the field.
And they fed it some grass.
So this advertising that industry does is a little deceiving.
And I have to investigate this to find out.
It's a lie.
It has to be grass finished from beginning to end.
So then it's gonna have more omega three in it, it'll have more K two in it, it'll have more nutrition in it, and less toxins also in it.
So
Less omega six.
Because if your cows are eating corn
Then you're gonna get all that omega six.
And the cow is not supposed to be eating corn.
Cow is supposed to be eating grass.
So
I do eat some meats and I eat some vegetables with it.
Coming from a background, my great grandfather's from India, we do eat i uh Indian food as well, so we have some lentils.
And some curry, of course.
So you can cook the meat in a in a curry form as well.
I don't eat much chipatis because those are very
Full of clubs.
I love the taste of it, I love none.
Once in a while. And what do you supplement with? What's your supplement stack like? I take D three.
K two.
Omega three, fish all so I take two two capsules every day.
Vitamin C one gram.
Inulin.
Kiffer. I drink that every day.
Yeah, counted.
Magnesium.
And
I take natokinase.
Natokines. Natokinase
I take about eight thousand units a day.
What it is is that
It does thin the blood a little bit, so you're less likely to make blood clots. Part of metabolic syndrome is a tendency to make blood clots and have a high fibrin level. My fibrin level was at the upper limits of normal, so I just take nato kinase. It doesn't cause any bleeding or any problems like that.
And then I also take
A probiotic.
And I it's it's basically is
Cool.
mega spores
Probably.
So
There's
It's balls.
There's no real bacteria in there, it's all spores.
What's a spoil?
A spraw, a bacteria?
Can survive?
by sporulating, so it becomes a spore. So it's no longer a bacteria, it's a spore, but it'll germinate.
So these little things
They have they are the
Spores of the bacteria that are in soil.
So soil has certain species of bacteria, the bacillus species.
The spores
I consume
They go in my gut.
Because remember if I take a probiotic
The acidity in my stomach.
Is gonna kill most of the bacteria.
So what does the spore do, sorry, do you think through the stomach
goes all the way down to your intestines and then it
germinates there, it grows there. So now the spore becomes a bacteria.
Okay.
So it gets past that acidity of your stomach.
So I do take that as a supplement as well. Doctor Jay, what is the most important thing we didn't talk about that we should have talked about?
For the people at home that clicked on this episode. And you know, I guess
one way that you might tackle this question is just by thinking about
the most popular questions you get asked from your audience on a daily basis.
That we might not have covered today.
How can I screen myself?
Right now.
What test should I do right now to see
At what stage of inflammation and corny artery disease am I in because corny artery is the number one cause of death?
and inflammation is the underlying cause. So what test should I be doing right now?
That is an important question.
If you're over the age of thirty
And you have concerns.
One.
Get a Connery Celson score.
If your corner calcium score is zero, you have no calcium.
Then you are in a good place.
If you have cornery calcium
You need to go see a good cardiologist that's gonna do a prevention program because it means you already have atherosclerosis.
Athosclerosis meaning. Hardening of the arteries.
Number two.
You need a
Good.
blood test to look for inflammation.
The blood test that I order
is called a Cleveland Hot Labs.
In it?
You get your H D L, L D L cholesterol, but you look at particle sizes.
Is my LDL small dense.
If it is small, dense particles, is it oxidized? Yes.
I have a problem.
My CRP level
Other inflammatory into Lukin Six
To Monocross's factor.
Hemoglobin A one C

All these are part of that panel of tests. So you should get a good
inflammatory panel, which is the Cleveland Hot Labs. So those are the two things that everyone must do.
Get a communication score, all of those.
And do an inflammatory panel.
Inflammation.
You gotta know whether you've look, you know f you may not feel inflammation. It's not like you get a big pimple and it's gonna hurt you.
But if you have information in the body, yeah, you could know about it. How?
You have mental fog.
I'm not optimal, Doc.
My memory's going down.
I'm depressed. Depression.
Is inflammation. Depression is not something psychological, okay?
Now this I have to stress to you and I tell my patients, you come in I'm depressed.
You depressed because
That very symptom of depression is a symptom of your inflammation.
You can't be depressed about something.
That oh my car's not working very well.
That's a difference from depression.
Depression is is is inflammation in the brain.
So you'll be surprised how many patients go on my anti inflammatory diet.
Which is I change the diet and fix them all up.
And the depression goes away.
So ask yourself
Not just
Questions about physically how you're feeling, but mentally also.
And if the answer is that Doc, I'm not optimal, I'm forgetful, I'm depressed, I'm having sleep disturbance, I'm relation things, man I've changed, my body's also changed.
You have inflammation!
We
have a closing tradition on this podcast where the last guest leaves a question for the next guest not knowing who they're leaving it for. And the question that's been left for you is what was the most difficult day
of your life and how did you overcome it?
The most difficult day of my life.
was a very personal one for me.
You know, when when when when my when my dad passed away.
And
You know, y and I'm Doctor J.
And uh
And when he
He was sick and he didn't want to go to the hospital.
And then he passed away in his sleep.
And then you always ask yourself
Could I have done something differently.
You know.
You second guess yourself.
And that second guessing happened with him. Of course, it was very, very painful.
But it happens with patients as well.
But
How did I overcome it?
It taught me a lot about my own limitations as well as a physician, as a son.
As a scientist, as a reader,
And that's why I'm motivated to do what we are doing here also is to
Do the best you can to educate people.
What was he sick with? What was his predicament?

He was a cardiac patient already.
And he's he's got a very interesting story, actually. He was told that he only had a few years to live after he had bypass surgery.
But then I put him through all the things we talked about today.
He lost a lot of weight. He went from hundred and eighty five pounds to hundred and thirty five pounds. He changed his diet and he lived another thirty years and he did another six world tours.
and travelled and he had a wonderful life.
Okay.
The impact.
Of simple things that we can do to change his life. So he stopped drinking all alcohol as well, and he he really had a very clean diet and everything else. But that night
He came down with some sort of infection. He had
massive diarrhea and massive uh massive explosion.
And I think that what really happened is it got overwhelmed. It's just the gut.
He got overwhelmed with a
Toxin from his gut.
And then
He passed to it.
But but lived to eighty nine was supposed to have passed away in his sixties.
And the impact. But but the thing is that you know we
We we shouldn't second guess ourselves. We don't wanna live in the past.
Yeah.
I want to live in the present moment.
Not even in the future.
So
All these things have taught me to live in the moment.
And one of the skills I've developed is just that.
That when I'm with you, I'm only with you.
If I'm doing your surgery, I'm only doing your surgery. If I'm having a conversation with you
You and I are the only people that matter right now.
And this
Being in the moment.
That ability to be that
It's something I learned over time.
Because before you know something bad happens, your next case is still reminiscing about that and you're regretting that. You can't do that. Life is only expressed in this moment.
Right now.
So learning how to live in the moment applies not only to me, but to everybody.
We all living in the past otherwise.
And
Mm-hmm.
We worried about the future.
So how do you learn
Present moment awareness and live in this moment.
So that
We will be happier, we can do what we want to do, make the changes we need to make.
Get the courage and make the and have the willpower to go out and make a difference to yourself and to everyone around you.
Starts with you.
Being here. Are you here?
Or are you in your past?
Or have you gone off into the future?
That's a skill.
That medicine has taught me, and I've become humbled by it.
And this is something
That I have learned.
And I want to pass on to all my patients too as well that okay, she've got all these things going on
Learn to live in the moment.
Doctor J, thank you so much. Thank you so much for the wisdom that you've shared with so many people. If people aren't all familiar with you, you're extremely prolific and well loved across the internet for the
the public education work you've done and the the heightening of awareness of people's heart and their cardiovascular health more broadly and until really before you started making videos online, a lot of this stuff was
opaque. It was a mystery to a lot of people. And your YouTube channel has almost a million subscribers now. And you you go through some of these subjects that we've talked about today in even greater detail. So I'd highly recommend people go and check you out there. But also just thank you for saving so many people's lives because
You know, that's what you do day in, day out, and that's an incredibly I mean, there's probably not a higher
calling one can answer. So
Thank you for doing what you do. And I can see now why
people love you so much on online and on YouTube because you're so incredibly
Engaging.
I guess is the word, engaging, wise, and you make the information accessible in a way that
I don't think it's been done before. So thank you so much. It's a pleasure to meet you and to have this conversation with you, and thank you for enlightening my audience. The pleasure was mine.
Thank you.
Uh