If you have a belly, sticking out, you

have a problem. Because the fat that's

in the stomach, that's called visceral

fat. This is very detrimental fat. And

that's the epidemic that we have today.

But the only thing that will make you

lose that fat very quickly is Dr.

Pradeep Jamnadas is a world-leading

cardiologist who has treated more than a

quarter of a million patients with

chronic heart disease. Now, he's using

his voice to help millions more prevent

ending up on the operating table through

simple lifestyle techniques.

>> This is crucial. Glucose actually stops

sticking inside the bloodstream. And the

body pours insulin into the bloodstream

to push glucose out. But frequent

consumption of carbs, sugar, processed

foods is causing insulin to stay up,

which can lead to insulin resistance.

And you're going to be more prone to

heart disease, which is the number one

cause of death all over the world right

now. But this is where fasting comes in.

Because after 12 hours, you start

pulling the fat out. And the first place

the fat comes out of is going to be

visceral fat. But with modern living, we

have lost this physiology of fasting. So

we'll go into that.

>> And there must be certain things which

people aren't aware aren't healthy as it

relates to my cardiovascular health.

>> Yes. So I see that people who overly do

aerobic activity, they end up with more

coronary artery disease than patients

who do short sprints and resistance

exercises. Then there's mold. And almost

70% of homes these days have some form

of mold toxicity in them. But also, one

night of bad sleep, you become insulin

resistant the next day. And there's

calcium supplements, excessive fruit,

white rice.

>> White rice? You'd be surprised how much

arsenic there is in rice these days. I

watch a lot of true crime. People kill

each other with arsenic.

>> Yes. And it will slowly kill you. And

lastly, this is going to surprise you.

I see messages all the time in the

comment section that some of you didn't

realize you didn't subscribe. So if you

could do me a favor and double-check if

you're a subscriber to this channel,

that would be tremendously appreciated.

It's the simple, it's the free thing

that anybody that watches this show

frequently can do to help us here to

keep everything going in this show in

the trajectory it's on. So, please do

double check if you subscribed and thank

you so much because in a strange way you

are you're part of our history and

you're on this journey with us and I

appreciate you for that. So, yeah, thank

you.

Dr. Pradeep Jamnadas,

what is it you've spent the entirety of

your career,

especially the last few decades of your

career, focusing on?

Prevention of heart disease,

which is the number one cause of death

all over the world right now.

You see, the heart is made up of many

parts. So, this is important. It's a

pump, so it's a muscle.

So, you have diseases of the muscle and

it's rampant these days, cardiomyopathy,

weakness of the muscle. Then you have

the arteries on top of the heart and

that's called coronary artery disease,

diseases of the arteries, they block up.

Then you have the valves, the valves

tend to get damaged as well. For

example, aortic stenosis.

And then you have the peripheral

circulation, all the blood vessels that

go to your carotids, your brain, your

legs, and to all the organs of your

body. And then you have microvascular

disease, which is the tiny capillaries,

that they become dysfunctional as well.

>> What's a capillary? Capillary is the

branch of the branch of the branch.

>> Okay, so like the tiny little veins.

>> Tiny ones, yeah. So, when they become

dysfunctional, that organ becomes

dysfunctional as well. So, cardiology

affects all these aspects.

And how long have you been operating on

people's hearts? About 35 years now. And

how many hearts do you think you've

treated?

In excess of 30,000.

And what what's the age range of those

patients?

They we used to be mostly older people,

over 65. Now, I'd say 50% of them are

under 65 and 50% are over 65. So, the

demographics is changing. The younger

people are developing heart disease. So,

the youngest patient you've ever

treated?

28.

And what what was the predicament in

that case? He was having a full-blown

heart attack. So, that means that one of

his arteries was completely clogged up.

It had a blood clot in it. There was no

circulation past that artery, and

therefore he was having acute chest

pain, sweating, blood pressure was low.

He comes straight to the hospital. I

rushed to the hospital, take him

straight into the cath lab, and try to

open up that blockage. And we did open

up that blockage, and we put a stent in

it, and got rid of that blockage

immediately to restore that blood flow

to the heart muscle.

And at 28, how does one get a heart

attack? You said it was blocked up.

There's a lot of nuance in that.

Most people don't understand what a

heart attack is. So, in a nutshell, I'm

going to tell you what it is.

When you have a plaque, a plaque is a

build-up of a little

fibrous material inside the artery,

and that doesn't cause a heart attack. A

heart attack is caused when one of those

plaques

cracks. Now, in this diagram, for

example, it's showing that the plaque is

closing up the artery, and this will

cause angina. That means a lack of blood

supply over here. So, this patient may

complain of chest discomfort, or he may

not complain of chest discomfort.

Because remember, when you have a

blockage like this, only 20% of the

patients actually get chest pain.

That means that you could have a

blockage like this in a patient, and he

may not have any chest discomfort.

And the only way you're going to pick

that up is by doing a stress test, or a

coronary calcium score, or some other

modality to see whether he has blockage

or not. A heart attack is when a minor

blockage, which is not causing much flow

disturbance, suddenly cracks. And what

happens to the the plaque that that

cracks off? And when it cracks open, the

blood that's going past it sees the

crack and wants to repair it

and forms a blood clot on it. So, the

final thing that shuts down that artery

is a blood clot. It's not the plaque

that shuts it off. It's a blood clot.

So, a heart attack is caused by a blood

clot at the site of a rupture. And what

causes rupture is inflammation. Okay.

So, when people say that heart disease

is the number one

killer of people generally that are that

are diseased, is it that process that's

causing it alone or is there a multitude

of processes that lead to heart disease?

There's a multitude of things that lead

to heart disease.

Look, they are That was a heart attack.

That's right. Okay. So,

one, you're making plaque. You shouldn't

be making plaque.

A plaque is an inflammatory

area inside your arteries. It's reacting

to something. And I can go into the

nuance of what's actually What's the

body reacting to? What's inflammation?

Inflammation is reacting to something.

What is that something? And I think it's

important for your audience and

everybody to know what that something

is.

Now, you've got this pimple.

Think of it as a pimple on the inside of

the artery.

Now, one day when there's enough

inflammation in your body systemically,

that pimple is going to crack open, just

like a pimple on the skin breaks open.

Now, that artery has this little pimple

on the inside and it cracks open and a

blood clot forms on it, and that's a

heart attack. So, you don't want plaque

formation. You don't want plaque

instability, which is rupture of that

plaque, and you don't want a blood clot

to form on it. There are factors that

affect each of these processes, and all

three processes are going wrong today.

And that's why we have so much plaque

formation and instability of the plaque,

which then leads, of course, to heart

attacks.

And our blood, in general, we have more

coagulation issues today than we ever

did before, which means our blood,

because of inflammation, is more ready

to clot more easily. So, we having the

perfect triad.

It's a perfect storm. That's why we're

seeing an epidemic of this, and that's

why we're not making a dent in it. Yes,

you can have a plaque rupture and have a

heart attack and we'll put a stent in

you. Okay, that's fine. But what did we

do

to look at the underlying reason as to

why you formed that plaque, and why did

you rupture it, and why was your blood

so clotty in the first place that made

you actually seal off the artery?

Is this an increasing problem?

Yes, it's a it's a huge problem, because

those factors have been identified now.

And that's what we go for in my

practice. We look for the factors. Why

did you make this plaque?

Why is there so much inflammation in

your body?

Inflammation is a reaction to something

foreign. What is that foreign stuff?

What is that abnormal physiology in you

that your body is reacting against?

Because that's what inflammation is.

And inflammation, of course, whenever

there's going to be inflammation,

there's going to be increased tendency

to make blood clots. So, we go in, we

chase all these things in patients to

find out. And that's the real

prevention.

That 28-year-old that came in

um and you treated him, was it was that

a a surgery you did? We call it a

surgery, but it's not. It's a it's a

angioplasty. So, we go in from the wrist

Yeah. or we go in from the groin with a

catheter, and we go into the coronary

artery. A catheter being like a tube

>> It's a hollow tube, and we put it into

the coronary artery. We shoot the dye

inside, we see where the blockage is,

and then we thread a tiny wire

into that artery through the blockage,

and then bring in a balloon, and squash

the blood clot out of the way, restore

the circulation,

and then bring in a stent. A stent is

like a spring that opens the artery up.

We leave the stent inside there, we

remove everything else, and now you have

an open artery, and you have blood flow

going down that artery.

>> And what had that 28-year-old done to

end up in your surgery? What were the

decisions that they had made that

brought them there?

So, he was number one, he was

overweight. But, he wasn't just

overweight. The overweight was all in

his belly.

And he had a fatty liver, and he had

what is known as visceral fat.

He was not a diabetic, but he was a

prediabetic.

That means he had a lot of insulin in

his body, and his glucose levels were

good. So, if you went to his family

doctor, they'd say, "Oh, you're not a

diabetic. Your hemoglobin A1C, which is

a blood test that you do for diabetes,

is actually okay." But, actually that

patient had a very high insulin blood

level.

Now, insulin

is a very atherogenic molecule. It

causes smooth muscle proliferation.

Smooth muscle is in the walls of the

arteries. It causes vasoconstriction.

It makes your blood more clotty,

and it causes inflammation.

So, this patient was a prediabetic.

And this is very important. This is what

caught my attention.

Because when I looked at my patients

that were coming in with heart attacks

and hardening of the arteries, and when

I tried to identify why they're doing

this,

none of them were diabetics.

But, then I did a glucose tolerance test

on them.

And what happened, it was just by chance

that I happened to have these tests in

my office where you can measure the

blood glucose. So, I had about 120 of

them. So, I said, "Look, let's just do

some random testing on these patients."

And I found that at least half of them

had no diabetes, but they glucose

intolerance. That means that their

sugars went up, but not enough to make

them a diabetic. But, it did go above

the normal range. We did not have

insulin testing at that time.

About 10 years later, we started testing

insulin in the office, and I bought a

machine for this purpose

in my office to measure insulin levels.

And life was never the same again. Why?

Because it's all about insulin when it

comes to the metabolic derangement. So,

I found that these patients, their

sugars were going up 250, 160 after

giving them a glucose drink. Mhm.

So, you say, "Okay,

he's not a diabetic. Look, the sugar

didn't really go high." But, when you

measure the insulin level,

the insulin was off the roof. So, when

you say this is an insulin problem, can

you explain this to me like I have no

idea what glucose and insulin are for

for any of my listeners out there that

have a inexperienced understanding of

these these these terms and what they

what they do and mean? It's crucial.

Everybody needs to understand the

relationship between sugar, which is

glucose,

and insulin. When you consume sugar or

glucose, the body has to get rid of that

glucose very quickly from the

bloodstream because glucose actually is

toxic inside the bloodstream. Even

though it is what the body uses for

energy,

in the bloodstream, it glycates all the

blood vessels and the walls and the

components in blood and the hemoglobin

as well. Glycates it. That means the

glucose attaches itself to that

molecule.

So, now that molecule can't work

properly. That is why the higher your

blood glucose,

all your chemicals don't work well. Your

enzymes don't work well. Your hormones

don't work well. Nothing works well, and

you age prematurely because you're

getting glycation. Glyca- A glycated

molecule can't work normally. It doesn't

function normally.

So,

when you consume the glucose, the

glucose has to come out of the

bloodstream. And how does the body do

it?

It sends a message to the pancreas. The

pancreas says, "Aha, I'll make some

insulin." It pours insulin into the

bloodstream. Insulin comes into the

bloodstream, pushes the glucose into the

cells. And where does it push in it?

Into the liver, into the muscles, into

every cell in the body. Insulin will

push glucose out. Now, how much insulin

is the question.

If I'm eating every 3 hours,

and I'm consuming glucose, or I'm

consuming starchy foods, or I'm

consuming carbohydrates. Now, watch

where I'm going with this because you're

already beginning to know where I'm

going with this.

I'm consuming glucose and carbs every 2

3 hours. I'm stimulating my pancreas.

I'm stimulating my insulin. My insulin

goes up, it comes down. But before it

even gets a chance to come down, it goes

up again.

So, the repeated consumption of and

frequent consumption of glucose is

causing my insulin to stay up because

insulin stays a little bit longer in the

bloodstream than the glucose. The

glucose will come down in about 2 to 3

hours, but the insulin stays higher for

about 4 hours. Now, what happens is that

you continue this lifestyle for a few

years.

Now, the body, because these are all

hormones,

will say, "Well, you know, it's I'm

going to need to make more insulin."

Now, you become insulin resistant. Any

hormone that stays in your body for a

long time, the body becomes immune to

it.

So, the next time I eat the sugar, I'm

going to have to make more insulin to

produce the same effect.

That is called insulin resistance. So,

now you got this patient who's been

eating carbs,

sugar,

processed foods.

What does that mean, processed food?

That means foods that are quickly

absorbed into the bloodstream. Processed

foods.

These are products

without fiber.

So, the absorption is very quick. So,

the poor pancreas has to react just like

that. Produces a whole bunch of insulin.

And then the frequent eating and the

frequent consumption makes you insulin

resistant. So, now you produce a whole

bunch of insulin in order to bring that

sugar level down. So, then you say,

"Okay, well, it doesn't matter because

the insulin the insulin is bringing the

sugar level down. So, what's the harm

done?" Because your A1C is still good.

You're not diabetic. No, but it's that

background high insulin that is

destroying your metabolism.

It's that high insulin level in the

background. So, insulin

pushes glucose

into the liver and you develop a fatty

liver.

It pushes the calories into production

of new fats around your viscera. The

viscera means in your belly.

Around your pancreas.

You get visceral fat. Now, this fat is

produced from glucose. It's a different

kind of fat. Look, if I gave you a high

calorie diet right now of all sorts of

foods, you'd put on weight everywhere,

okay?

But, if I give you glucose, you put it

on mostly in your stomach. And your

stomach will protrude. And that's called

visceral fat. It's on the inside. You

can't pinch it. It's on the inside.

>> Around your organs. Around the organs.

This

is very detrimental fat. And that's the

epidemic that we have today. And that's

a direct result of eating, you know,

starchy glucose carbohydrates, which

creates insulin, which creates this

downstream effect on

>> Wrong foods and eating too frequently.

Too frequently, okay. Because remember,

it's also the frequency of eating.

Because before that insulin level gets a

chance to down, you're already popping

yourself with more food. And hence you

develop insulin resistance. You get a

very high insulin. It takes this much

insulin now just to bring that sugar

level down. And then the one day

when you cannot control that sugar, now

that sugar will go out and now your

doctor will say you're a diabetic. But

by that time, you've already had 10

years of hyperinsulinemia.

So, what happens if by the time you make

a diagnosis of diabetes to say Well, now

your sugar is really high. It is high

because your body has not had the

ability to keep it down. Why? Because

even that high insulin could not keep

your sugar level down. You became a

diabetic. You lost that whole

opportunity of prevention. It's those 10

years. Look, by the time you're a

diabetic and you come and see Dr. J in

his cardiac clinic, you already have

coronary artery disease. Like that

28-year-old. The 28-year-old didn't have

diabetes. He already has coronary artery

disease.

By the time you are diagnosed as having

diabetes, you already have coronary

artery disease. We have a great

opportunity here to actually start

screening these patients with insulin

levels very early on. But most doctors

don't have the ability or knowledge to

do the insulin level testing.

But it should be done.

And someone like me, I'm 33 years old

now.

When does the damage begin?

It starts right now.

It starts right now. As soon as you

around 30, you're already starting to

have trouble. You have to But you know,

this is what I do. I look at that

patient walking into my room.

And if I see that he's got a belly

sticking out,

I already know he's probably got insulin

resistance.

Because all the fat is in here.

Because the fat that's in the stomach,

sideways he looks terrible, from the

back he looks great. His waist is

increased. Mhm. Mhm. He doesn't have all

the fat everywhere else in his body.

That's the phenotype of somebody who has

hyperinsulinemia.

That same person goes on a cruise, he'll

come back 5 to 10 lb more because he's

got so much insulin in his body. Insulin

is a storage molecule. Puts everything

away.

And it's very hard for him to lose

weight. Why is it harder? You The only

thing that will make you lose that fat

very quickly is to change your diet, of

course, but you have to do fasting.

Because fasting brings your insulin

level See, this is where fasting comes

in.

So, what does fasting do? Do you mean

fasting or a calorie deficit? Is it Or

is it the same thing in your view?

>> No, they're not the same thing.

They are not the same thing.

You see, when you don't eat, your

insulin levels come down because you're

not stimulating your pancreas anymore.

So, you want to bring your insulin

levels down. The best thing you can do

in the world is to do fasting.

Because there's no Look, if I just

simply cut down on my calories,

then there's a different physiology

that's going to take place in the body.

And when you fast, there's a totally

different physiology. When you cut down

on calories, the body senses that

there's caloric deficit. Your metabolic

rate changes. It actually slows down.

And the body will start breaking down

everything, muscles included. So, you

lose fat and you also lose muscles.

On the other hand, when you're fasting,

it's a different physiology.

Fasting is I've put on fat, now I'm

going to take it out of the bank. Now,

the bank is going to be available for me

to pull out my calories and use it now,

and you start burning the fat. So, in

the first 12 hours of a fast, you take

out all the glucose in the form of

glycogen from your muscles and your

liver.

After 12 hours, you start pulling the

fat out. And the first place the fat

comes out of is going going visceral

fat. That is why fasting benefits you so

much cuz it gets rid of that worst fat,

the fat that is very inflammatory. You

see, if I did a biopsy of your visceral

fat

versus a biopsy of, let's say, a fat

from on your buttock, Mhm. two different

types of fat. One is full of

inflammatory molecules,

the other one is not full of

inflammatory molecules.

One is producing interleukin 6 and tumor

necrosis factor,

and this other fat is not. These are two

different fat storages.

Visceral fat is very toxic. It's very

inflammatory.

And that is why patients who have

visceral fat make all these molecules.

So, when I do the blood test, I see

that, "Oh, you've got so much

inflammation. You've got interleukin 6

is high, tumor necrosis factor is high,

your CRP is running high." And one of

the reasons for this

is not just leaky gut and other things

that I look at, but in your case, it is

also because you have a lot of ectopic

fat. Ectopic fat. Ectopic fat is now

we're realizing is not just only around

the liver and around your pancreas, it's

also around your heart.

So, when we look at the coronary

arteries and we see all those fat around

the coronary arteries, we had a very

nice diagram right there, and you can

see that around each artery,

there's that yellowness.

That yellow is all plaque.

Fat. That's fat around that, and it's

plaque forming. It's plaque forming. It

stimulates plaque. It's inflammatory.

And now we can do CT scans that will

actually detect how much inflammation is

in the fat around the arteries as well.

Ectopic fat is in the

around the coronary arteries, it's in

your liver, and in your pancreas, and it

is very inflammatory. On this point of

fasting, so if you have someone come to

you and they're, you know, they have

that physique where there's a bit more

of that protruding belly fat, you said

that fasting is a much better approach

than just sort of a calorie restriction.

I was looking at some studies that said

research shows that calorie deficits of

any kind can reduce visceral fat, but

fasting will give it an edge because of

the insulin sensitivity stuff that you

talked about as well. What kind of fast

should one be doing? Because there's so

many different names for these fasts.

People do these 40-day water fasts and

they do intermittent fasting. It's a

great question. There are many, many

different types of fasting.

Depending on your goal on

what do you want for that particular

patient? So, if a patient is just simply

looking to reduce his visceral fat, then

I start with 12 12, which means 12 hours

you don't eat anything, you just drink

liquids with no calories in it, and then

12 hours is your feeding period. We

start with that.

And we do that for about 2 to 3 weeks,

then we quickly move to 18 6.

18 6 means 6 hours you get to eat. 18

hours it's only

water, black tea, black coffee, green

tea, no calories. 18 6. 18 6. And then

that's one type of fasting. Now, if a

patient is very overweight, a patient

has diabetes, and your goal is to

reverse the diabetes, the patient needs

to lose 60 lb, then those patients have

a special type of need. For them, I will

take them to a 48-hour fast once a week.

Sometimes I'll go to a 3-day water fast

every 9 days.

Every 9 days you will do OMAD. OMAD

means one meal a day only every day for

9 days.

And then you're going to give me a 3-day

water fast.

Is the same advice applicable to women?

Because obviously they're contending

with

a variety of hormone fluctuations and

estrogen and I know that the the the

female body responds differently to

these kinds of stresses like fasts.

I've been asked that question so many

times from patients as well. Most of the

women can actually handle it.

The only women that cannot are those who

are trying to become pregnant or or they

have um

or they're already pregnant. I I think

that women are not that different when

it comes to the fasting programs. So in

my experience, I've been able to get

women to fast. I just finished a fast on

one lady just now for a 72 days. 72

days. She was terribly overweight. She

had diabetes. She had hypertension. She

had hyperlipidemia.

She was having hip replacements, knee

replacements, joint problems. She had

skin problems. And we fasted her for 72

days. What did she have in those 72 days

in terms of drinks, electrolytes,

coffee? What was she Great question. So

she would have black tea, black coffee,

water.

And in the water once a day, I tell her

to put some electrolytes in there. So

there's an electrolyte called Element T

or sometimes I just tell them to go buy

some Celtic salt and put half a teaspoon

in there. And once a day you take that.

If you get cravings

and you feel really really hungry,

take some MCT oil, a teaspoon, and put

it in your water and you can drink that

as well. I think it's worth saying that

probably shouldn't try this at home,

ladies and gentlemen, because obviously

medical supervision is critical here.

But in the case of that lady, what was

the before and after of that 72-day

fast?

So

diabetes gone.

Blood pressure

normalized.

Weight loss, tremendous weight loss. I

mean, I think she lost about 55 60 lb.

Wow. Okay. And not only did she lose all

that weight, yes, all that weight from

her belly was gone, but even her face,

under the arms. So, when you lose weight

in a fasting program, it's very

different from losing weight when you

are restricting calories. You actually

retract your

your skin. So, you get real changes in

your entire body. These people I had one

patient that fasted for 183 days

under supervision.

Okay. So, he went from 400 lb to 210 lb.

And when he walked into the office, you

would not recognize that he's just lost

all this weight because he did not look

like skin on top of the bones and then

having to have surgery to remove all

that excess skin.

Fasting is a totally different

physiology.

In fasting, you you you you you the body

is doing a whole lot of things that are

very different and we can go into the

physiology of fasting because that's

fascinating. It's a physiology that has

not been used by us. We've lost it. So,

one of the things about modern living,

modern living, we have lost this

physiology of fasting. First of all, why

do we still have that physiology in us?

It's because it's supposed to serve a

purpose

because we're supposed to be fasting and

feasting.

But now we're only feasting all the time

and we're not fasting.

In order to go back to normal,

you should be fasting. Fasting is

supposed to be a normal part of your

existence. That's the way you were

designed, not this modern industrialized

living that we've been doing in the last

fraction of a millisecond in the total

existence of the human race.

We've changed our lifestyles so much,

modern man has, but our genetics and our

physiology has lagged behind. We are

supposed to use fasting and feasting as

part of our normal program, as our

normal physiology. That's why we still

have it. That is why after 12 hours, you

start making some more ketones in your

body. And the ketones come from fat.

You're moving that fat out of storage.

>> What is a ketone?

Ah, ketones. So, ketones are a energy

molecule produced by the liver. How does

it make it? It makes it from fat. So,

the fat gets liberalized and by the way,

the fats only start moving when your

insulin levels are down. So, because of

fasting, your insulin levels are really

low now, okay? Because you've been

fasting, right? So, now the fats start

dissolving. So, you get free fatty

acids. The free fatty acids float into

the bloodstream. Free fatty acids are

fat products. They float into the

bloodstream. They go to your liver. Your

liver converts those into ketones. Now,

ketones are an energy source of the

body.

An alternative source to glucose. So, in

general terms, you are either going to

be running on glucose and glucose

metabolism

or you're running on ketones.

Okay? And so, ketones basically show up

in the when glucose isn't around. That's

absolutely right. So, ketones and

ketones are actually a cleaner fuel for

the body.

And in terms of producing reactive

oxygen species in the metabolism, the

way your mitochondria work, you actually

produce less reactive oxygen species,

which is damaging to your physiology,

when you're in ketones. And ketones are

signaling molecules that also change

your physiology in a number of ways.

Number one, it causes the production of

brain-derived neurotrophic factor.

That occurs under ketogenesis.

Brain-derived neurotrophic factor, which

means that you become smarter.

You're growing new cells. Your reflexes

are better. Your visual acuity is

better. Why? Because nature wants you to

become a better specimen so you can go

out and get your next kill. So, why

don't we all just stay in a state of

ketosis then if it's so miraculous?

Well, that's a great question.

You don't want to be in ketosis all the

time cuz that's not what ketosis what

what our physiology was made for because

then you'll just be burning fats,

burning fats, burning fats all the time

and that's not a good state to be in

constantly either. So, you want to be

able to do both. You're supposed to get

your current account and your deposit

account. You're supposed to go work with

both of them. That's the normal

physiology. So, not only brain derived

neurotrophic factor increases, but also

stem cells. Stem cells are amazing.

And in my patients, of course, I see

that What What is a stem cell? Ah, stem

cells. So, stem cells are We all have

stem cells.

And we all still make stem cells.

And they're produced by the bone marrow.

These are pluripotent cells. Cells made

that will then go out and become

whatever they need to become.

So, they can go out into your

circulation, become a muscle cell, they

can become a retinal cell, a skin cell.

They can transform into anything. So,

what happens then when you break your

fast? Mhm.

You get a surge of stem cells coming out

of your bone marrow. Some of them become

immunocytes. That is why we know that

fasting also boosts your immunity.

People who fast get less infections, get

less sore throats and coughs and colds

and the viruses that are going around.

The immunity is better. The stem cells

are not I'm particularly interested in

the stem cells because of a thing called

the progenitor cells, endothelial

progenitor cells. Progenitor cells are

You see, you're always hurting your

blood vessels, the lining of the blood

vessels and the lining of your blood

vessels have to be constantly repaired

and they

they are repaired by the progenitor

cells. When you do intermittent fasting

and time restricted feeding,

you will produce more, and this has been

shown in numerous studies, more

progenitor cells. And these progenitor

cells go and repair your blood vessels.

So, I would do what Why am I interested

in this? Because I'm a vascular doctor.

I want my blood vessels to constantly be

repairing themselves from the damage

that we do in day-to-day life. So, stem

cell mobilization, brain-derived

neurotrophic factor,

growth hormone. You make more growth

hormone in fasting.

So, when should you exercise when you're

fasting?

At the peak of your fast. So, if I'm

going to break my fast at 6:00 p.m.,

I tell patients to go out to the gym at

4:00 in the afternoon.

But they say, "But doc, how can I do

that?"

You will find that you will put on more

muscle, and you will retain more muscle

as well, cuz you have higher growth

hormone. The fastest way and the best

way to actually increase your growth

hormone production is to do intermittent

fasting. When I start with um Dr. Stacy

Sims, who does a lot a lot of um

work on women's physiology and women's

performance, one of the things she said

to me is that if a woman in particular

tries to do a workout fasted, the body

will break down the muscle

in a woman because she said a woman's

body is much more the hip- hypothalamus

is much more sensitive to changes in a

woman's glucose levels cuz it's trying

to defend against, you know, pregnancy

and you know, all these kinds of things.

So, it shuts down the menstrual cycle if

there's not enough glucose in the blood.

And

and so, she said for women in

particular, you do you do want to have

eat something before you work out or it

will

your body will

take from the muscle. And it will

definitely won't The body is very

sensitive. It won't want to to help you

build muscle if there's not enough

glucose energy in the body. She said for

men, it's slightly different because

we're a little bit more robust, and we

were meant to hunt. So, if we were

fasted, our body is, you know, designed

to

kind of keep up its normal processes to

help us complete a hunt, per se. So, I

guess I throw this question out to you

about about women, exercise, and

fasting.

>> Yeah. I I think that's a great

observation. So, again, it's what kind

of exercise is the woman doing? You see?

Now, there's two kinds of basic

exercises. One is aerobic activity,

and one is uh resistance exercises. And

you can also throw into that

high-intensity interval training. Mhm.

So,

when it comes to the training that I'm

talking about in a fasting state, I like

resistance training.

So, in resistance training, that glucose

issue is not going to become a problem.

Now, if you're going to put that female

patient on a treadmill and make her run

for a long period of time, let's say

you're going to make her run for 40

minutes on the treadmill, I think that

yes, you are absolutely right. You are

going to deplete her glucose, and you

may cause some problems, and then the

muscle will start breaking down. But I

do believe, from all the experience that

I've had with my patients, that when I

tell them to do a hit, which is

high-intensity

interval training,

all the women do just as well as the

men. Because all you're doing is you're

intensely working the muscles, and

you're doing some resistance exercise,

and then you're totally resting as well.

And I see fantastic results with that.

In terms of ketosis,

do you

cycle in and out of a ketogenic diet?

And just for anyone that doesn't know

what know a ketogenic diet is a diet

that's very, very low in carbohydrates.

So,

less than 50 g of carbohydrates a day,

typically.

Do you cycle in and out of that diet?

Yes.

Yes, you have to. Because I don't want

them to stay in a ketogenic state all

the time. So, I do. I do. I do. I tell

them, "Look Look, what is your goal

here? What is your goal? If your goal is

that, okay, I need to lose 70 lb, then

you're going to do this till you get to

your goal. Once you get to your goal,

then you're going to go back to

time-restricted feeding, which means

18:6. So, you'll still make some

ketones, and then intermittently, you

can still do a 36-hour fast.

That means

normal healthy people, you and me, we

should still be doing one 36-hour fast

at least once a month. So, we'll go to

that. We'll go to that.

Fasting must still become part of your

pro- But, you don't need to stay in

ketogenesis all the time.

Remember also that when you are in

ketogenesis, you are

you are also in autophagy.

How much autophagy can you do? That

means you're recycling all your your

particle all your organelles inside your

cells. What does that mean in simple

terms for someone that doesn't know the

term autophagy?

>> So, bottom line is the cell senses

that

there is no new parts coming in here.

So, it takes the redundant

organelles inside the cells

and breaks them down.

Packages them up into these little

packets and exports them out of the

cells. So, these cells, all your cells

in the body, now are functioning at a

much more efficient level.

So, mitochondria

also have autophagy. So, you're getting

new mitochondria, you're repairing your

mitochondria, and you know it's all

about mitochondria, right? Your energy

Mitochondria are those organs

organelles inside each cell.

And we just think of them as only an

energy source. That only are my

mitochondria, they make ATP.

That's not the whole story.

Yes, they produce ATP.

But,

they also produce this thing called

reactive oxygen species.

And thereby, they influence

the metabolism of your of your cell as

well. They send signals. They send

signals to your to your chromosomes. So,

you start producing new proteins. You

start producing

molecules. So, your mitochondria are

very important. If you have old

mitochondria, you're going to have

fatigue, tiredness. But, when you get

mitophagy, one reason why you feel so

good after a fast, because you have new

mitochondria. They are much more

efficient in producing ATP and less

reactive oxygen species. So, you have

mitophagy,

recycling of your parts, cellular

function improves.

Toxins get out of your cells as well.

Toxins.

Do you think there's a

preferable or a best exercise for heart

health? Like, if you were going to say,

"Steven, to make, you know, my my I

think my family has a history of

heart-related issues. One of my my uncle

died from a heart attack. So, I'm very

aware of

my own susceptibility to heart-related

illnesses. I think there's other people

in my family um that have heart-related

issues, as well.

Is there a particular exercise that is

best for the heart? Cuz I'm guessing

resistance training, i.e. training,

might not be the

the number one recommendation for good

heart health.

You mentioned hit. I'm wondering if

that's

Yes.

So, I'm just going to tell you, broadly

speaking, what I see in my practice.

I see that people who do a overly do a

aerobic activity, that means they cycle

100 miles a day, or they're running on

the treadmill for 2 hours at a time

every day, or they're doing a lot a lot

of marathon training all the time, they

actually end up with more inflammation

in the body, and they end up with more

coronary artery disease than patients

who do short sprints, and patients who

do resistance exercises, and patients

who do hits.

So,

in terms of cardiology, you Look, you

need some aerobic training. Why? Because

you want to develop some endurance,

right? You don't want to be running

behind the bus and and get short of

breath just, you know, a few hundred

feet. So, for some endurance you do

aerobic activity. How much aerobic

activity, which is running on the

treadmill, for example, or just

sprinting?

Only about 15 to 20 minutes. That's it.

So, I tell patients, you want to run on

that treadmill, you want to bicycle, 15

to 20 minutes. And then you got to go

into resistance exercises. The

resistance exercises that I have seen

work best in my patients is simple

things. You don't have to go crazy. You

do floor exercises. You use your own

body weight

as resistance. So, you can do the planks

and leg lifts and all these other

exercises. And you can do hit. But they

have to be very specific. So, you

exercise really hard for about 30

seconds to 45 seconds and then you

completely rest for another 30 to 45

seconds.

Okay. And that's allowing your body

to clean up the reactive oxygen species

you just created through that exercise.

Because your rate limiting step in

cleaning up the metabolic mess that you

get when you get too much exercise. It's

a rate limiting step. Your glutathione

production, your superoxide dismutase

production.

These are chemicals that clean up the

metabolic mess that you get when you get

too much activity. That's a rate

limiting step.

So, when you rest, you exercise and you

rest, you exercise, you rest, you are

going to get a cleaner physiology.

With your patients, how many patients do

you think you've treated or worked with

in your career?

Ooh.

That's a

>> to guess into the nearest thousand in

your

>> have to be at least

nothing less than

nothing less than quarter million. How

do you deal with the heartbreak? That's

no pun intended, but I'm saying like how

do you deal with the heartbreak of

watching people's lives

either them losing their life or their

their lives being changed permanently

forever or dealing with the families of

of people who lose their husband or wife

or or son or daughter.

It it is very difficult. Especially when

we've been trying everything and still

things can go wrong.

Based on that, I realized that sometimes

you can do everything to try to extend

life, but you cannot life is still

finite.

We will pass, yes, but we want

better health span and we want a longer

life span. I want to give the patients a

better quality of life also. I can't

make you live forever.

I will see people die. Sometimes they

die in front of me while I'm even

holding their hands. They'll pass away

in the hospital right there.

But what I do want to do

is to give them a quality of life until

then that's going to change. And in all

this education,

it's all so that you can live an optimal

life

and then pass away just like that. Have

you seen many people that made all the

right decisions? They were healthy, they

had a good diet, they were doing

exercise, and they still end up

passing away on your hospital table

because of heart-related illnesses? Yes.

Can you give me give me one such

example?

Typical example, a fellow in the 60s.

His coronary calcium score was over

1,000. So, you know that's a CT scan

that we do

and it looks at calcium on the arteries

of the of the wall. So, all this plaque

that you you you you you showed the the

this yellow stuff here, all that has

calcium in it. So, the more calcium you

have, the more plaque you have.

So, he had a calcium score of over

1,000.

So, sit down and talk with him and say,

"Okay, so tell me, why do you have all

this calcium? No diabetes, no high blood

pressure. Doc, I don't even drink. I

don't do anything. I don't smoke. I

exercise regularly. I go to the gym. And

then the question is, why do you have

all this coronary calcium in your

coronary arteries now?

And

it turned out that ever since he was a

kid, he had a bad microbiome.

And in him I found that that was the

reason why he got it. So he was shocked.

When he left the office, he was totally

shocked cuz he thought that being

constipated and having a bowel movement

every 3 or 4 days

is just normal cuz it was always like

that for him.

Until I dug into it and found out that

he's actually got a lot of GI problems.

And that's what probably caused him to

have inflammation. And that's what's

probably caused him to have coronary

artery disease. That's why he's got all

this coronary calcification.

Yeah. So let's talk about the gut

microbiome then.

You you mentioned earlier that that's

really pertinent in

cardiovascular issues. Can you explain

to me exactly why and how that happens?

The biggest difference between you and

your outer environment is actually your

gut.

Not outside your skin.

It's actually the gut. There's a hundred

trillion bacteria sitting in there. And

there's probably 400 trillion viruses

sitting in your gut.

And they're not just hitching a ride for

you. They are there doing something.

There's a symbiotic relationship between

the gut

and you. They produce micronutrients

which get absorbed into your

bloodstream. If the right microbiome is

not present, you are being deprived of

those micronutrients. For example,

short-chain fatty acids which are a

special kind of uh thing. But also, they

maintain the integrity of the lining of

the intestines.

If the lining of the intestines is

breached,

then bacterial wall products get into

the bloodstream. And the first place

they'll get to is the liver.

Hence, you get a fatty liver.

There are basically three reasons for

fatty liver. Either you're drinking too

much alcohol,

or you get a leaky gut,

or you have too much insulin, cuz

insulin causes the conversion of glucose

into fat, right? So, you get a fatty

liver. When you say leaky gut, So,

that's a leaky gut.

>> Ah, okay. So, leaky gut is when

the microbiome is dysfunctional. The

microbiome that is dysfunctional causes

the integrity of your intestinal lining

to be compromised.

>> Ah, okay.

>> Yeah. So, now molecules that are

supposed to stay in the gut,

dead bacterial wall products, they're

called lipopolysaccharides,

they're supposed to stay in the gut, but

now they get into the bloodstream, they

go up the portal vein,

and up the portal vein, they'll end up

going straight to the liver.

And when they end up in the liver, they

cause that fatty liver. Now, you get

this big fatty liver, which causes a lot

of inflammation. A fatty liver

is an epidemic of this going on today.

At least 25% of the population now have

a fatty liver. And what is upstream from

that? Is it Is it alcohol and all these

processed foods and things like that?

It's basically processed foods,

sugar,

and leaky gut. And of course, toxins,

alcohol being the biggest toxin. Okay.

This is the seat of metabolism.

So, as a cardiologist, I became

interested in this because I found that

if you have a fatty liver, you're going

to be more prone to inflammation,

and you're going to be more prone to

coronary artery disease. When we fix the

fatty liver, we change the diet through

fatty by by changing your diet, and now

you start eating real food and not

processed foods and products, when we

increase the fiber intake so that the

good bacteria start coming back into

your gut, mhm? And when I give you

certain supplements to restore all your

nutrition in your body, then all of a

sudden the progression of coronary

calcium flatlines out. You see, let's

say you came to me for test and I did a

coronary calcium score and it's 500.

And 2 years from now it's 800.

That means, wait a second, something's

not right here, right? Your coronary

calcium should not be going up.

Now, I can't get rid of the coronary

calcium because that's plaque in the

walls of your arteries, but it shouldn't

keep going up because one day it's going

to be 2,000. So, how do I follow how

well my treatment for you is is I follow

the coronary calcium score. And again,

the coronary calcium score is a marker

of the amount of plaques Correct. around

the heart and in the vessels of the

blood. Yeah, in the wall.

>> Okay, so you want low

coronary calcium. Like my calcium score

is zero. You shouldn't have any coronary

calcium in the walls of the arteries.

So, we have the yardsticks now We should

probably We should probably

differentiate between calcium

supplements and the calcium that you're

talking about. So pertinent. Calcium

supplements actually increase the risk

of cardiovascular events. Calcium

supplements should not be taken. The

problem is not calcium supplements. The

problem is lack of D3 and lack of K2.

So, we shouldn't be taking calcium

supplements.

>> Absolutely not. Absolutely. I stop all

calcium supplements on all my cardiac

patients.

And I tell them, you should take vitamin

D3 so you'll absorb calcium better into

your gut and you take vitamin K2 because

vitamin K2 is going to make sure that

you don't get the calcium build up in

the wrong places, in your vasculature

for example. Just to give some context

on the research. Some Some large

observational studies suggest that

high-dose calcium supplements,

which is especially, um, above 1,000 mg

a day from pills, may increase the risk

of heart attack and stroke, while others

find no clear link.

Yeah. Okay.

Yeah, no. I Look, also they advise high

calcium supplements in women to prevent

osteoporosis, for example, right? And

osteopenia. Now, I live in Florida, and

all these young women, they come to me

in their 30s, they all have osteopenia.

And the question is that they've got

calcium supplements put inside the milk,

in the orange juice has calcium in it,

and they're taking calcium supplements,

and why would they And they have

sunshine, and why would they have

osteopenia? And the reason is D3.

You need D3 and K2. That's what you

need. It's a hormonal thing. It's not

the elemental thing.

So, when people are on blood thinners,

do they typically have low vitamin K1?

If you're taking Coumadin, Coumadin is a

type of blood thinner Yeah. that lowers

your your vitamin K1 levels. And it will

also lower K2. So, Coumadin will lower

K2 as well.

So, you will get increased coronary

calcification, and that's been

documented. So, patients who have

who are taking Warfarin, for example, or

Coumadin, have been shown to have

increased coronary calcification because

of the fact that the K2 levels come down

as well as the K1 levels. Both come

down. Both So, you need vitamin K2. And

do you just do supplement that, or would

you get it from dietary? I supplement it

on all my patients because diet comes

from fermented foods. And we don't eat

enough fermented foods to contain enough

vitamin K2.

One of the reasons why I do like my

supplements is because today's food is

not as rich

as it was in the past.

So, we're not eating the variety of

foods, but also we're not getting enough

vitamin K2 in our regular diet. So, if

you want to give me advice then on

having a great gut so that I don't end

up with leaky gut, which will cause all

of these downstream effects, what is

What is the advice you'd give me to have

a perfect gut?

Number one,

lots of fiber.

Because the fiber is going to be eaten

by your bacteria, and you're going to

get a wide variety of good bacteria

eating fiber. If you eat a lot of sugar,

you will get bacteria, too, but they are

the bad ones, the ones that you don't

want. So, you're going to get a

condition called SIBO, for example.

But you want to eat lots of fiber, so

because our diets today don't give us

enough fiber,

I do advise all my patients to take

inulin with FOS. It's called inulin with

FOS. It's a powder, it's a soluble

fiber, and I just tell them to take one

scoop in your water every day, or put it

in your whatever you're going to have,

whatever liquid you're going to have.

Number two,

fermented foods.

The fermented foods will give you not

only the bacteria themselves, because

they are For example, called kefir has

so many different strains of good

bacteria, but they also have the

postbiotics.

What is a postbiotic? A postbiotic, for

example, vitamin K2. It's a product that

the bacteria make.

Short-chain fatty acids. That's a

product that the bacteria make. So, you

want bacteria, you want good bacteria in

your gut, and they will stabilize the

ratio of all the other bacteria in your

gut. So, the keystone species have to

come back into your gut. I was reading

some

research around fiber,

and it says that in the United States,

women are 40% fiber deficient, and men

are roughly 50% fiber deficient. And in

the UK,

we're about 40% fiber deficient.

I don't think people know that. Where do

I find fiber? What What What do I need

to be eating to increase my fiber?

Fiber is found in anything that's

non-processed

because the very act of a processed food

is to take out the fiber so that you can

increase the shelf life of it. So, any

processed food, anything that's

manufactured in a factory, for example,

anything that already comes ready-made,

they've taken the fiber right out of it.

So, you got to eat real food. So, you're

going to eat real vegetables. And that

too, a variety of vegetables. You see,

you're supposed to eat 30 to 40

different types of vegetables a week and

we don't tend to do that. So, you want

fiber from a variety of sources. So, we

got to eat a little bit of all these

different different type of vegetables,

including spices. They all count as one

vegetable. So, that's something I I

stressed to everybody that you got to

have variety. You got to have all these

different fibers because they will

foster the growth of different types of

bacterial species in your gut. What

about lifestyle recommendations for

improving my gut? Things like, I don't

know, stress, uh sleep, exercise.

Anything

>> Sleep is absolutely important. So, the

the the next thing is actually actually

sleep and stress because lack of sleep

causes a change in your gut microbiome.

You got to sleep 7 hours a night. And

cutting down on sleep is going to affect

your entire physiology in your body and

your repair processes and your vagus

nerve and your delta sleep and but also

your gut microbiome. One night you'll

get insulin resistance. One night of bad

sleep, you become insulin resistant the

next day.

If you're changing

If you're changing time zones very

frequently,

the

liver dysfunctions

and the gut microbiome also

dysfunctions.

So, we got to be more cognizant of that.

That lifestyle is very important.

And we have to have plenty omega-3 in

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You talked you talked earlier on about

toxins. Yeah. What do you mean by

toxins, and how what role is toxins

playing in my physiology, in my heart

health, in my gut health?

Yeah. So, and what is a toxin?

A toxin is a molecule

that should not be in your body. You

should not have been exposed to it.

So, let's take a pesticide or a

herbicide. These are chemicals

which man has made

and not perhaps adequately tested it in

in um

in rigorous studies, and yet these

chemicals get into the body. And we know

that many of them are estrogen receptor

disruptors, and that causes inflammation

as well.

So, if you look at pesticides and

herbicides,

we look at plastics,

forever chemicals, for example, PFAS and

other chemical BPA.

These chemicals all disrupt our

metabolism in our body.

And then, of course, mold is a toxin.

And lastly, heavy metals are toxins.

When the gut is not working properly,

you're going to be more prone

to toxicity because the gut bacteria

normally grab a lot of those things and

take them out in your stools. So, when

we look at toxicity, we look at gut

health and the liver health. The liver

is supposed to get rid of a lot of

toxins, but

in today's day and age, because of the

foods that we're eating, the environment

that we breathe, the environment that we

walk out into, we're getting too many

toxins and this poor organ here is

getting overwhelmed and cannot detoxify

adequately. So, when I do a blood test,

urine sample, and a stool sample, I get

a very good bird's-eye view of what's

going on with their ability to detoxify

and which levels are high. And I'm

finding

that many of my patients who have gut

issues and liver issues are very, very

high with not only heavy metals, but

they also have a lot of

pesticides, herbicides, and mold in the

body.

And mold, I'm finding a lot of mold. And

mold and all these extraneous toxicities

cause inflammation. Inflammation is a

reaction to something that your body

shouldn't have. Where is the mold coming

from?

Mold is very interesting. I've only

started researching it in the last 1

year.

Basically,

almost 70% of homes these days have some

form of mold toxicity in them, either

from previous water damage or exposure.

And mold is ubiquitous. It's It's just

about everywhere. And it can reinoculate

you every time you're in that

environment and it causes your innate

immune system

to start reacting to it and causes

low-grade inflammation

in your body.

And when I get rid of the mold, all of a

sudden I'm noticing that the patients

are not only feeling better but the rate

of progression of coronary artery

disease flattens off. I have this uh

steam room in one of my houses and uh I

went in there the other day and I

smelled I could smell it smelled a bit

funny.

And I recognize that smell from when I

was younger as being mold. So I like I

Googled it. I said what what is that

like earthy strong pungent smell in my

steam room? I think what's happened is

part of the like seat has come away from

the wall so it's not sealed anymore and

I think the moisture has got in there

with the water and I think it's moldy

and ChatGPT said to me when I was asking

ChatGPT, said it smell near the like

cracks. Yes. And if you smell it if it

smells really strong near the cracks

then that's mold and I smelled near the

crack and it was really really strong. I

remember thinking oh like so I had I not

known that would have been sitting in

there 30 minutes a day inhaling all of

that strong mold smell.

And from doing this show I've I've

learned that the downstream impacts that

can have on your body and your

cardiovascular health and everything in

between is really really bad. So I

I had a team come over and just uh fix

everything, repair it and do a deep

clean but I don't think people are very

aware of

how mold which is the kind of thing you

think of as like oh the the the bread

has gone green whatever can have a

chronic downstream impact.

>> And also this mold can come in and then

become part of your microbiome. So it

can actually come into your So let's say

you get out of this place

but if the mold is still in your gut or

if it's in your sinuses for example and

you get chronic sinusitis, you're

re-inoculating yourself over and over

again with this mold. And this is an

area of great interest and a lot of

research needs to be done. It is real

and we've known about it for a long

time, but the medical profession as a

general has not really taken this and

run with it, but it is very important.

And we certainly

looking at mold toxicity in our practice

because we find that it is actually more

prevalent than we ever ever imagined

before and we know the chemistry. We

know that it causes a a systemic

inflammatory reaction in the body and

it's reflected in the blood work. We see

that the CRP is up. We see that the

complement levels are high. We see that

the certain ratios of certain

inflammatory molecules are off. So, we

will do want to treat mold.

We want to treat sources of mold

toxicity both in the gut as well as in

the sinuses. And yes, people are

surprised when I tell them that that

affects the cardiovascular health. When

we talk about the clogging of arteries,

why is it that healthy people still end

up sometimes with these clogged

arteries? I think it's because they have

sources of inflammation that we have not

identified. For example, we say, "Oh,

you have no cholesterol, you have no

smoking, you have you you're exercising,

you're not overweight, you don't have

diabetes. Well, then I don't know why

you got all these odds." Well, there's

always if you dig deeper inside, there's

always something. And we'll find the

source of the inflammation. There's

always a reason why you get hardening of

the arteries. What's in that list? In

that list is mold. Mold, yeah.

Leaky gut. Yeah. Huge. Food

sensitivities. Oh, let me tell you about

food sensitivities. So,

another reason for the leaky gut

is that certain foods punch holes into

your intestines in a in a in a sense and

causes a leaky gut. And I've had at

least one patient in the last 6 weeks

that I can remember

who

actually has celiac disease.

And he didn't even realize he had celiac

disease because he had no constipation

diarrhea and he had premature coronary

artery disease and we identified that he

had celiac disease. We cut out all wheat

from his diet and that's going to stop

this inflammatory process from

occurring. See, it's all about

inflammation. We need to get rid of

inflammation in order to get rid of

coronary artery disease. Any source of

inflammation.

Get rid of the source. So, if the

pesticide levels are high, herbicide

levels are really high, get off

that source. Maybe you may maybe you're

living on a golf course and you smell

those chemicals every day. Maybe you

using it yourself in your yard. Maybe

you have toxicity coming from mold as

you mentioned, but we got to find the

source of it. So, a thorough evaluation

of the gut microbiome, a thorough

evaluation

of toxins in your body and a nutritional

status.

Your body is able to work and get rid of

this type of pathology if you have good

nutrition.

We don't have good nutrition today.

Let's talk about nutrition then. So, if

I wanted to end up on your surgical

table, if I if that was my goal,

what would you recommend

that I ate

and yeah, consumed? You should eat

nutrient

deficient

processed

foods

every day.

Give me some examples of of things.

Pringles and

Correct. So, it'll be things made out of

wheat, refined wheat, biscuits, cookies,

cakes,

lots of bread,

basically

fast foods,

foods that come in a box, ready-made

food with labels,

anything that comes in a packet that

you're open up.

Including some of these

that are

high protein bars or some of these

because they have all sorts of other

chemicals in them.

And I would have

lots and lots of um

artificial colorings in my food in all

those processed foods.

Um artificial sweeteners

lots and lots of diet drinks and sugary

drinks. Orange juice? Orange juice is is

on my list because that produces such a

profound increase in my glucose level

and then my insulin spike that I'm going

to get afterwards will cause me to

become very hungry 3 to 4 hours later.

So, yeah. I would not eat real food.

And you'll end up on my table.

Also, alcohol, smoking

>> Alcohol

No fiber because none of those foods

will have fiber in them. None of those

processed foods have fiber in them. Your

patients must

come to you at times and tell you what

they're doing

uh in terms of what they're eating and

lifestyle choices. And there must be

certain things which

very people aren't aware aren't healthy.

You actually mentioned bread.

Yeah.

Is all bread bad? No, not all bread is

bad. Most bread is bad. I don't mind

some sourdough because it's fermented.

So, it's going to get rid of some of

those lectins that are already in the

flour. So, those lectins are gone out

because they've been fermented. So, it's

probably a little bit okay. But again,

not large amounts of it, you know, a

slice once or twice a week is fine.

But really, it's a survival food. Bread

is a survival food, just empty calories.

That's all it's going to do.

>> Is there like a worse bread? Is there

like one bread which is

Yeah, pure white bread, simple white

bread. The simple light white bread is

pure calories, 70 calories right there.

You're talking about just eat 10

teaspoons of sugar instead in one slice.

I mean, it just doesn't make any sense

whatsoever. White rice?

White rice. I

White rice is a staple food of many

people and they cannot live without it.

So, I run into this problem all the

time. So, I tell them that this is what

you're going to do. You're going to

first and foremost soak your rice in

water and then discard the water after

an overnight soak because it contains

arsenic in it and other heavy metals.

You'd be surprised how much arsenic

there is in rice these days.

You see? See the problem we have? Our

sourcing of our foods.

I mean, here is a cardiologist has to

talk to his patients about how to cook

rice.

What is arsenic for people that don't

know?

It's a heavy metal that is found in the

soil and the water. It's in contaminated

soil and water and in this paddy fields

are now full of arsenic. It's a poison,

isn't it? People I watch a lot of true

crime. People kill each other with

arsenic.

It's a very, very strong poison and

it'll slowly kill you.

Is there anything else on that list of

thing misconceptions? Cuz

>> So, so, so the rice has to be soaked,

then you'd get rid of the water, then

you cook it

with lots of water, throw away the rice

again. I mean, the I throw away the

water, not the rice. And then, you cool

the rice in the refrigerator.

And then, you eat the rice the next day

by reheating it. Now, what you've done

is you've created resistant starch.

Now, what's going to happen is that that

rice is not going to have the same

insulin effect in your body and weight

gain effect and changes in your

metabolism because it's now got

resistant starch. Resistant starch means

that those

molecules have all bound to each other.

They don't They resist absorption and

digestion until they get to your colon.

And then, who's going to eat it? Your

bacteria. So, you're basically feeding

the bacteria with your rice. So, if

you're going to have rice, this is the

way you're going to do it. So. Is there

anything else on that list that

people should be thinking about that

they probably consider to be healthy

right now. Yeah, yeah, yeah, yeah, yeah,

yeah. So, it's also what you do to your

food. Look, you take a nice piece of

fish, for example, and if you burn it

and you blacken it really bad,

you're creating what is known as

advanced glycation end products.

You fry something, you're creating

advanced glycation end products. So, let

me define that for you.

If nature does not have the ability on

its own

to take

glucose,

protein, and fat and combine them at

very high temperature.

But you can do it in your air fryer

and you can do it outside in in in you

when you're blackening your food and

over blackening your food, it's called

advanced glycation end products. So,

when you over burn your food, when you

overcook your food, you're creating

these molecules. Now, you're consuming

these molecules and they've been shown

to cause a radical increase in the

inflammation in your body cuz your body

reacts to those products. There's

receptors to get rid of those, they're

called RAGEs, and they get rid of these

products, but you overwhelm them and now

you get inflammation.

And is there any other watch out foods

that

you know, people think are healthy but

maybe if if I was trying to have an

optimally healthy heart, I should avoid?

This is going to surprise you.

Excess of fruit.

Cuz I'm not a very big

follower of fruit. Fruit should be eaten

only in season cuz it has too much

fructose in it. Fructose being the

sugars. Fructose is a sugar and fructose

causes fatty liver.

So, our over consumption of fruit is

another factor

that is contributing to coronary artery

disease and diabetes and fatty liver.

And we think of fruit as being a healthy

thing.

You see? But fruit should only be

consumed really in the fall and in

season and in small amounts. Cuz that

high fructose level really causes major

changes in your metabolism.

So, I'm not too fond of fruit. You can

eat fruit in season, small amounts of

it. But, you know, people go crazy about

fruit.

I mean, I had a patient who was having