So here's a 63-year-old white female who's been obese since childhood.

But total cholesterol, 336, LDL 252, a zero calcium score.

Large particles, not small particles.

And she's not, I often, with these initial numbers, they'd say ph.

And we don't have her on a statin because she has a zero calcium score.

Welcome to the Fat Emperor podcast.

I'm your host, Ivor Cummins.

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So know your score and take action to prevent that premature heart attack.

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Okie doke. Well, Iver, we'll talk about what we do in the office every day. Somebody comes to us often a family history of heart disease. Sometimes they've been told of a positive calcium

score and or maybe they've had a heart attack recently and

wanted to do prevention. So our job is to find out what caused the heart attack or the

coronary calcium or the family history.

Right.

And so we use this as the basis.

So we start with this conceptual approach.

First, is it primarily a lifestyle problem?

And that's always diabetes, pre-diabetes or what we call pre-diabetes.

Or is it primarily genetic? and it can be both and what we emphasize before is when we're

talking about the lifestyle problems you can have abnormal insulin secretion a fatty liver

visceral obesity the fat around your, including in your pancreas,

...