Most people think heart disease starts with a bad cholesterol number. But the truth? The damage

often starts decades earlier, before you feel it, before you see it, and before your doctor catches it.

And once that early damage begins, it's silent, but it's not inevitable. You just need to know where to look

and what to do next. Most cardiologists don't talk about nitric oxide. They don't measure

VO2 max. They don't ask about grip strength or muscle mass, but they should because muscle is one of the most powerful

protectors of your heart and mitochondrial health. That might be the key to your entire

cardiovascular future. In today's episode, you'll learn why standard cholesterol labs are incomplete, how the loss of skeletal

muscle speeds up heart disease, what biomarkers matter more than LDL, and why diagnostics,

not guesswork, are the future of prevention. This is the medicine of what's possible. And my guest today is one of the

few cardiologists practicing it. Dr. Michael Twyman, expert in mitochondrial optimization, arterial

imaging, and a bio-individual, muscle-centric prevention approach. So if you could prevent a heart

attack before it starts, wouldn't you want to know how? Let's talk about what it really takes

to become heart attack proof with Dr. Michael Twyman. Dr. Michael Twyman.

Dr. Mike Twyman, welcome to the show.

Thank you for having me back.

Has it been 40 seconds yet?

Not yet.

Okay.

Well, as soon as it reaches 40 seconds, someone in the U.S. had a heart attack. And every 33 seconds, someone dies of cardiovascular

disease. It's a horrible stat. You know, it makes me think, how have we not gotten better at treating

that? I think we're getting there, but it's still the number one killer. You know,

we did this episode three years ago. Stats haven't changed that much since then. And I think we're

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