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High Intensity Health with Mike Mutzel, MS

LDL-Cholesterol is USELESS! Measure this Instead: ApoB

High Intensity Health with Mike Mutzel, MS

Mike Mutzel

Fasting, Nutrition, Autophagy, Ketogenic, Keto, Health & Fitness, Ketodiet, Medicine

4.81.2K Ratings

🗓️ 13 April 2023

⏱️ 19 minutes

🧾️ Download transcript

Summary

Emerging data suggests using is ApoB as well as the ApoB/ ApoA1 ratio more accurately assess cardiometabolic disease risk than standard LDL-cholesterol testing.


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----------------Show Notes-------------------------------


0:00 Intro
0:03 Standard LDL cholesterol measurements are estimates.
0:15 Every atherogenic lipoprotein has one ApoB100.
1:10 ApoB is causally related to atherosclerosis.
2:08 Optimal ApoB is under 60.
4:05 LDL measurements do not correlate to risk.
6:40 Biomarkers of oxidative stress are linked with risk of atherosclerosis.
7:30 Focus on ApoB levels and the ratio or ApoB to apoA1.
8:50 Many people who die of heart disease have low or normal LDL cholesterol.
10:15 Look for biomarker patterns.
11:30 Atherogenic cholesterol is made by your liver.
12:43 Prevent oxidation and do not ingest oxidated seed oils.
15:30 Triglycerides skew LDL measures.

Transcript

Click on a timestamp to play from that location

0:00.0

I think it's fair to say that LDL cholesterol measurements are now obsolete.

0:03.6

I know that might sound like a bold statement because you've gone to your main

0:06.3

tree medical doctor. You were told that your LDL cholesterol levels are concerning,

0:10.4

so you might need to go on certain medications. Well, I'm going to tell you a little bit more

0:13.8

about what is actually going on. We're going to focus on apoliproprotein B, which is a

0:18.2

protonaceous compound on the extracellular surface of all of the pathogenic

0:22.5

liproprotein particles that are floating around in your body.

0:25.6

The LDL cholesterol measurement that you get from your doctor or the hospital,

0:29.2

it's actually an estimate known as the freed walled equation, which gets more and more inaccurate,

0:34.8

the more and more metabolically and healthy you get. This is widely recognized. We need to

0:39.0

reframe the paradigm away from just looking at mathematical estimations for your LDL cholesterol

0:45.1

and focus on apob. I know this sounds like a big multicellabic word apoliproprotein B.

0:51.0

The concepts are very simple. This is a really affordable test and we're going to talk more about

0:55.2

what apoliproprotein B is, what it does, and why it's more sensitive and specific than just

1:00.4

measuring LDL cholesterol. There's many papers out here on apoliproprotein B and it's links with

1:06.0

cardiovascular disease, but suffice it to say the research is quite clear. Apoliprotein B is

1:11.2

causally related to atherosclerosis, the process of the narrowing and the occlusion of your

1:17.2

vessels, including the coronary artery, which is linked to major cardiovascular events. So it's

1:22.0

important that you understand and know your apob levels not just looking at your LDL cholesterol

1:28.2

estimates via the free walled equations. So the paper that we're going to dive into today

1:33.2

is titled apoliproprotein B and cardiovascular disease, biomarkers and potential therapeutic

1:38.4

target. Here's a screenshot of my own measurements. I've been measuring my apob since 2009.

...

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