Attia nails the important points on early detection and treatment of atherosclerosis but his super-aggressive treatment goals go far beyond what is supported by the science
It’s interesting to read that other adult animal species have acceptable LDL levels. As for nutrition, I am not sure whether GPs would nowadays advise against eating cheese (‘cholesterol’) as a nutritional strategy for patients prescribed statins - some people have been taking a statin for much more than 7 years with no change to nutrition advice nor apparently any concern for it. I have read comments about people being able to eat whatever they like if taking statins! Personally, I also find GPs unwilling to be specific about what makes a ‘good diet’ although they might drop hints about what might not. So their vague nutritional advice wouldn’t support a primordial risk reduction approach to reducing risk factors for ASCVD.
Attia is a narcissist and a know it all with a huge ego. I personally cant stand him!
Insulin resistance and prediabetes is the real elephant in the room. I'm so tired of hearing about cholesterol. All my numbers have been perfect all my life.but yet I have a very elevated calcium score so I take a low dose of rosuvastatin. I don't pay him any attention
However can someone explain why he mentions visceral fat, insulin resistance, inflammation but then ignored those and then focuses everything in on LDl apob ? There is a huge amount of attention from cardiologists on insulin resistance being a major contributor. What's the root cause that is increasing the marker bad food, extreme exercise, high chronic stress, insulin resistance. ? Btw I had a HA when I was 42 and have been down so many paths to find answers but hit dead ends, In that I find conflicts amongst the scientists , cardiologists and end up choosing what seems logical and what seems to be working for me. CCTA score of 32 age 51 , 15min stress test, great lipid profile and other markers, no statins, low carb , whole foods, good sleep, relaxation techniques, stopped high intensity exercises and some supplementGreat article
However can someone explain why he mentions visceral fat, insulin resistance, inflammation but then ignored those and contributed everything to LDl apob ? There is a huge amount of attention from cardiologists on insulin resistance being a major contributor. What's the root cause to increasing the marker bad food, extreme exercise, high chronic stress, insulin resistance. ? Btw I had a HA when I was 42 and have been down so many paths to find answers but hit dead ends. In that I find conflicts amongst the scientists , cardiologists and end up picking and choosing what seems logical and what seems to be working for me. CCTA score of 32 age 51 , 15min stress test, great lipid profile and other markers, no statins, low carb , whole foods, good sleep, relaxation techniques, stopped high intensity exercises and take some supplements. Not overly scientific but seems to be slowing progression down.
Love this unbiased site btw it's helped with my choices ... No quacks here 😜s.
This sounds like an example of what I like to call 'intervention bias'; something that works very well for acute cases then gets over-used for mild cases, and I believe is actually a major challenge for public health.
For a good early example I'd heartily recommend a read of the paper 'On the incidence of Tonsillectomy in school children' by James Alison Glover in 1938, a seminial paper on treatment epidemiology.
For a recent example I'd consider the intention to mass vaccinate healthy children and young people with the Covid vaccine worthy of consideration.
Speaking of which I thought Peter Attia has some of the more balanced views on Covid, when many health influencers avoided the topic altogether, though he did get a lot of pushback from the more extreme elements of his readership.
Thank you for bringing some rational perspective... this guy seems very questionable in many aspects of his writing... his hysteria (on this and covid) creates clicks though... but hurts the credibility of honest scientists and doctors who try to do the right thing... he will go down in history as a quack
It’s interesting to read that other adult animal species have acceptable LDL levels. As for nutrition, I am not sure whether GPs would nowadays advise against eating cheese (‘cholesterol’) as a nutritional strategy for patients prescribed statins - some people have been taking a statin for much more than 7 years with no change to nutrition advice nor apparently any concern for it. I have read comments about people being able to eat whatever they like if taking statins! Personally, I also find GPs unwilling to be specific about what makes a ‘good diet’ although they might drop hints about what might not. So their vague nutritional advice wouldn’t support a primordial risk reduction approach to reducing risk factors for ASCVD.
Attia is a narcissist and a know it all with a huge ego. I personally cant stand him!
Insulin resistance and prediabetes is the real elephant in the room. I'm so tired of hearing about cholesterol. All my numbers have been perfect all my life.but yet I have a very elevated calcium score so I take a low dose of rosuvastatin. I don't pay him any attention
Great article
However can someone explain why he mentions visceral fat, insulin resistance, inflammation but then ignored those and then focuses everything in on LDl apob ? There is a huge amount of attention from cardiologists on insulin resistance being a major contributor. What's the root cause that is increasing the marker bad food, extreme exercise, high chronic stress, insulin resistance. ? Btw I had a HA when I was 42 and have been down so many paths to find answers but hit dead ends, In that I find conflicts amongst the scientists , cardiologists and end up choosing what seems logical and what seems to be working for me. CCTA score of 32 age 51 , 15min stress test, great lipid profile and other markers, no statins, low carb , whole foods, good sleep, relaxation techniques, stopped high intensity exercises and some supplementGreat article
However can someone explain why he mentions visceral fat, insulin resistance, inflammation but then ignored those and contributed everything to LDl apob ? There is a huge amount of attention from cardiologists on insulin resistance being a major contributor. What's the root cause to increasing the marker bad food, extreme exercise, high chronic stress, insulin resistance. ? Btw I had a HA when I was 42 and have been down so many paths to find answers but hit dead ends. In that I find conflicts amongst the scientists , cardiologists and end up picking and choosing what seems logical and what seems to be working for me. CCTA score of 32 age 51 , 15min stress test, great lipid profile and other markers, no statins, low carb , whole foods, good sleep, relaxation techniques, stopped high intensity exercises and take some supplements. Not overly scientific but seems to be slowing progression down.
Love this unbiased site btw it's helped with my choices ... No quacks here 😜s.
Thank you, this is very useful.
This sounds like an example of what I like to call 'intervention bias'; something that works very well for acute cases then gets over-used for mild cases, and I believe is actually a major challenge for public health.
For a good early example I'd heartily recommend a read of the paper 'On the incidence of Tonsillectomy in school children' by James Alison Glover in 1938, a seminial paper on treatment epidemiology.
For a recent example I'd consider the intention to mass vaccinate healthy children and young people with the Covid vaccine worthy of consideration.
Speaking of which I thought Peter Attia has some of the more balanced views on Covid, when many health influencers avoided the topic altogether, though he did get a lot of pushback from the more extreme elements of his readership.
Your humble but skeptical reader,
Thank you for bringing some rational perspective... this guy seems very questionable in many aspects of his writing... his hysteria (on this and covid) creates clicks though... but hurts the credibility of honest scientists and doctors who try to do the right thing... he will go down in history as a quack
Fantastic article always like hearing your thoughts.