Controversial Thoughts - BONUS

Paul Saladino MD podcast

Paul Saladino, MD

Medicine, Health & Fitness

4.8 • 2.7K Ratings

🗓️ 21 November 2020

⏱️ 10 minutes

🔗️ Recording | iTunes | RSS

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Summary

If you missed yesterday's controversial thoughts podcast/video, you might also want to check that one out. I had a few ideas I wanted to discuss on COVID after I finished recording and knew I had to do another. The concept of "long COVID" is increasingly discussed today, but I'm not convinced this is anything new. First, it was "healthy" people (sadly) suffering from COVID who were obese or likely had metabolic dysfunction, and I think it's the same issue now. The majority of those with underlying metabolic dysfunction DON'T know they have it, which is why discussions of this are so important.

If you're new here and don't know what I mean by metabolic dysfunction, this might be thought of as insulin resistance, though that terminology is imprecise. Listen to the podcast next Tuesday (Fundamental Health) for part 2 with Peter from Hyperlipid to hear more discussion of this, or listen to the many podcasts I've done discussing it previously.

Take away: Long COVID is an underlying, undiagnosed metabolic illness IMO. Be metabolically healthy.#thremembering

Transcript

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0:00.0	All right, you guys. Welcome to another bonus episode of controversial thoughts straight
0:05.3	out of Hogwarts. I realized after I did the last one that there were two key issues that
0:11.1	I did not address in the video or podcast that was nevertheless 26 minutes long. So the
0:17.5	first question is something I got from a friend of mine. And he sent me this article on Yahoo.
0:24.9	And I've heard more and more people being concerned about this concept of long COVID.
0:31.4	Number of COVID-19 long haulers, survivors experiencing lasting virus symptoms is growing.
0:38.9	And I think that though my heart goes out to many of these individuals, I think we must be very
0:45.3	careful with the mainstream narrative that of course, which is going to be that they were all
0:51.6	otherwise healthy. I will remind you guys of something that I spoke about with Iber Cummins
0:58.9	on that podcast, which was this discussion of Joseph Kraft and the work of the Euro Aspire study.
1:09.0	Joseph Kraft says those cardiovascular disease not identified with diabetes are simply undiagnosed.
1:15.0	I think we can make a controversial statement, which may be wrong. I reserve the rights to be
1:24.0	wrong, but let's make a statement. My hypothesis would be that those healthy individuals
1:33.2	diagnosed with severe COVID were not actually healthy in the first place. They were either
1:37.6	overtrained athletes who were significantly immunologically compromised or those with an underlying
1:43.2	metabolic dysfunction that our mainstream Western medicine has no ability to detect because our
1:48.3	tools are too blunt. How many physicians look at fasting insulin? Okay, so that's the first piece.
1:54.0	The second piece is with all the empathy going out to these long haulers with COVID,
2:00.5	I believe we may find that the majority of them also have underlying metabolic dysfunction.
2:07.3	Let's look at the Euro Aspire study, which essentially found that of those who were admitted
2:14.1	with cardiovascular disease, there were a set of non-diabetics, there were more diabetics,
2:19.2	and there were even more diabetics when they looked more closely and more closely at measures
	...

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