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The Proof with Simon Hill

Assessing your risk of cardiovascular disease (Lipid Series - Part 2) | Dr Thomas Dayspring

The Proof with Simon Hill

Simon Hill

Nutrition, Education, Self-improvement, Health & Fitness

4.9 • 3.1K Ratings

🗓️ 20 March 2023

⏱️ 148 minutes

🧾️ Download transcript

Summary

Episode #252. In Part One of the blood lipids series, you learned what lipids are and how they work. In Part Two, Dr Thomas Dayspring returns to talk about the individualised testing you can get to understand where your lipids are now. Discover the tests you need, the ones you don’t, and when to start testing to protect yourself against atherosclerotic cardiovascular disease. We discuss: Intro (00:00) What is Lp(a), and why do you need it checked? (02:05) Does diet influence Lp(a)? (20:36) The oxidized phospholipid test (29:00) Early intervention and atherosclerosis screening for children (31:24) The tests are helpful in predicting cardiovascular disease risk (40:27) Discordance between ApoB and LDL-cholesterol (52:35) Normal range of ApoB levels for a healthy young person (1:03:14) Does atherosclerotic plaque ever disappear? (1:16:52) Triglyceride: HDL ratio vs ApoB test (1:22:15) Screening women in their 30s (1:29:31) Screening women in their 70s (1:37:23) What causes elevated ApoB (1:39:25) Do phytosterols help manage cholesterol? (1:58:55) Secondary prevention (2:07:08) The obviously misunderstood case of ApoB (2:20:45) Outro (2:22:35) Next week, we’ll discuss in detail the interventions you can make to optimise your lipids. Make sure to stay connected via my social links below so you don’t miss Part Three. The best place to connect with Dr Thomas Dayspring is on Twitter, @DrLipid. Learn more about Dr Dayspring’s career and current work on LinkedIn. Discover more insights and supporting studies in the full show notes. To assist with the digestibility of this content my team and I, along with Dr Dayspring, have added a bunch of illustrations and graphs to the video format of these episodes. So if you are visually inclined you can watch these episodes on our YouTube channel. Even if you prefer listening to the first time through audio, I highly recommend coming back for a second pass with the video versions.  Get your copy of the Lipid Series Cheat Sheet at theproof.com/lipidseries. This comprehensive resource provides valuable insights on assessing your risk, preventing, and treating atherosclerotic cardiovascular disease (ASCVD), the leading cause of death worldwide. The PDF not only highlights key learnings from the 3-Part Lipid Series but also includes a 1-week meal plan designed to promote healthy cholesterol levels. Enjoy, friends. Simon Want to support the show? The best way to support the show is to use the products and services offered by our sponsors. To check them out, and enjoy great savings, visit theproof.com/friends. You can also show your support by leaving a review on the Apple Podcast app and/or sharing your favourite episodes with your friends and family. Simon Hill, MSc, BSc (Hons) Creator of theproof.com and host of The Proof with Simon Hill Author of The Proof is in the Plants Watch the episodes on YouTube or listen on Apple/Spotify Connect with me on Instagram, Twitter, and Facebook Nourish your gut with my Plant-Based Ferments Guide Download my complimentary two-week meal plan and high-protein Plant Performance recipe book

Transcript

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0:00.0

Hey there, I've got a very quick message to share with you before we jump into the episode.

0:08.1

Let's keep this under 30 seconds, shall we?

0:11.5

This episode is proudly brought to you by Amille.

0:13.7

Amille is a plant-based wellness company focused on formulating evidence-based supplements

0:18.2

to optimize our health.

0:19.8

I personally take Amille's essential aid multi-nutrient to how I start my day, which contains

0:25.0

eight essential nutrients in the right forms and dosages to perfectly complement a plant-rich

0:30.1

diet.

0:31.1

Amille offers no magic pills or hyperbolic claims, just good quality supplements that

0:36.3

we can trust.

0:37.3

To check out Amille and get 10% off your first order, visit theproof.com forward slash

0:42.5

friends.

0:43.5

I'll pop a link to that in the show notes.

0:49.0

If I could control the guidelines and I say I'm the king of the world right now, tomorrow

0:54.4

every lipid guideline will say doctors, you must get APOB to gold in every person under

1:00.4

your care.

1:01.9

Citizens, make sure your doctors get APOB to control.

1:06.1

The overwhelming majority of practicing clinicians in the world have no clue what APOB

1:11.3

is.

1:12.3

They don't know what the metrics are for it.

1:14.2

They don't know what the levels are for it.

1:16.3

They wouldn't know how to treat it.

...

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