ARE WE TREATING CHOLESTEROL WRONG? - Doctor reacts

Ғылым және технология

Is the entire cholesterol & heart disease paradigm WRONG?! 🤯 The statin and cholesterol wars rage on! Find out why “blockbuster” statin drugs really aren’t that impressive and what really drives cardiovascular disease.
#keto #cholesterol #statins #heartdisease #lowcarb #lchf #health #nutrition
“Change your food, change your life!”
Dr. Eric Westman and his Adapt Your Life Academy team are on a mission to empower people around the world to transform their health through the science-backed benefits of low-carbohydrate and ketogenic diets.
Dr. Westman is an obesity medicine specialist and trusted expert in the therapeutic power of carbohydrate restriction, and clinical research, and has treated patients using low-carb keto diets for over twenty-five years.
He makes keto SIMPLE, so that YOU can LOSE weight, REVERSE chronic disease and GET the RESULTS you want.
Get started NOW by grabbing our FREE GUIDE - 10 Tips for Starting Keto Right.
👉 adaptyourlifeacademy.com/star...
Visit our website to see all the online, self-paced courses we offer on keto diets, low-carb cooking, diabetes, cancer, mobility, and more:
👉 adaptyourlifeacademy.com/all-...
Adapt Your Life Academy Online Courses:
adaptyourlifeacademy.com/all-...
Bestselling Book - END YOUR CARB CONFUSION:
www.amazon.com/Your-Carb-Conf...
END YOUR CARB CONFUSION COOKBOOK:
www.amazon.com/End-Your-Carb-...
FREE QUIZ to determine your personal carb threshold:
adaptyourlifeacademy.com/carb...
Dr. Eric Westman, Associate Professor of Medicine at Duke. He is Board Certified in Obesity Medicine & Internal Medicine, & founded the Duke Keto Medicine Clinic. He is a Fellow in The Obesity Society. He is the author of The New Atkins for a New You, Cholesterol Clarity, and Keto Clarity, and End Your Carb Confusion & co-founder of Adapt Your Life.
Disclaimer: Nothing on our channel is medical advice.
Dr. Westman and the Adapt Your Life team do not diagnose, treat, cure, or prevent any medical conditions online. We provide education to help people better understand their own health and support their well-being. Make sure you are working with YOUR licensed provider to monitor your health and medications. These posts and videos are not designed to and do not provide medical advice, professional diagnosis, opinion, treatment, or services to you or to any other individual. We do not promote or endorse affiliate links and/or products unless they are our own.

Пікірлер: 647

  • @MrBilartur
    @MrBilartur18 күн бұрын

    Blaming cholesterol for heart disease is like blaming cars for drunk driving accidents.

  • @starz9527

    @starz9527

    10 сағат бұрын

    High cholesterol can save u from a heart attack

  • @jennifermarlow.
    @jennifermarlow.Ай бұрын

    Just FYI, Dr. Westman (hope this is helpful), Dr. Dhand is an internist working in New England. Trained in, and used to work in, the UK, but now an American physician. He's VERY tuned in to eating healthy, and warns a lot about being over 65 and taking too many meds. He's a real proponent of knowing about your heath, and a top grade teacher! :)

  • @sanskaroflife1292

    @sanskaroflife1292

    Ай бұрын

    Dr Dhand is exemplary in his ethics and truth seeking. We need more physicians like him. Thank you dr for referencing him.

  • @annehat4833

    @annehat4833

    Ай бұрын

    These so called drs on utube are not real !....so your talking garbage....dr dhand is an AI...AI !

  • @sanskaroflife1292

    @sanskaroflife1292

    Ай бұрын

    @@annehat4833 what ?? No way

  • @imaginova88

    @imaginova88

    20 күн бұрын

    ​@@sanskaroflife1292 troll bot

  • @jeffj318

    @jeffj318

    4 күн бұрын

    ​@@annehat4833 I call BS to this comment.

  • @Stuart.Branson.
    @Stuart.Branson.Ай бұрын

    The words "TREATING" & "CHOLESTEROL" do not belong in the same sentence. The world of lies we live in is beyond insane

  • @daveb8449

    @daveb8449

    Ай бұрын

    Agreed.

  • @starrynight8007

    @starrynight8007

    Ай бұрын

    👏🏻👏🏻👏🏻✅✅✅

  • @dr.emilschaffhausen4683

    @dr.emilschaffhausen4683

    Ай бұрын

    If you have inflamation and a history of heart disease then cholesterol matters.

  • @dethbefodisco3221

    @dethbefodisco3221

    Ай бұрын

    You ain't kidding brother once you start digging the hole just goes deeper and deeper and deeper

  • @daveb8449

    @daveb8449

    Ай бұрын

    @@dr.emilschaffhausen4683 No. The inflammation matters, not the cholesterol.

  • @Mrs.TJTaylor
    @Mrs.TJTaylorАй бұрын

    I’m 70 and I’m healthy. I eat a whole food ketogenic diet, for life, I have high LDL, high HDL, and low triglycerides. I won’t take a statin medication unless I have a heart attack. End of discussion.

  • @kathydicioccio6094

    @kathydicioccio6094

    Ай бұрын

    Same except I will never take a cholesterol lowering drug.

  • @BeTransformedByARenewedMind

    @BeTransformedByARenewedMind

    Ай бұрын

    @myriamCordy

  • @blackthornsloe8049

    @blackthornsloe8049

    Ай бұрын

    Me too .

  • @tb54321

    @tb54321

    Ай бұрын

    I have high LDL-p (over 3500), low hdl, high triglycerides after 1 year in keto and 6 months on carnivore. I won’t take a statin either, but I am looking into potential problems causing high cholesterol like my thyroid issues or perhaps something else. I did get a CAC score this morning just to make sure there isn’t a problem with my heart, but it wouldn’t change my low carb approach to diet. I’m still doing high fat carnivore and following Dr Bright’s approach to healing hormones in hopes that correcting my thyroid will improve my lab work.

  • @merchandisingparadise9440

    @merchandisingparadise9440

    Ай бұрын

    @@tb54321 350 or 3500?

  • @melissaconrad4665
    @melissaconrad4665Ай бұрын

    He actually lives in the US. Love Dr. Dhand!

  • @tb54321

    @tb54321

    Ай бұрын

    He is one of the doctors that I listened to during Covid and one of the reasons I decided to try a low carb diet. Now I’m high fat carnivore and I’ve lost nearly 100 pounds. So I do owe Dr Dhand some credit for his work!

  • @mariagibb8185

    @mariagibb8185

    Ай бұрын

    Lives and practices in USA but qualified in UK.

  • @micheleshively8557

    @micheleshively8557

    Ай бұрын

    Me too

  • @coweatsman

    @coweatsman

    Ай бұрын

    That's right. Grew up and was educated in the UK but practising and living in the US.

  • @bernadetteholmes6160

    @bernadetteholmes6160

    Ай бұрын

    He’s a health champion! Love him!❤

  • @StephenArdent
    @StephenArdentАй бұрын

    I had to fire my doctors. They put me on three statins with an already low cholesterol and i lost my ability to stand and walk. My muscles just wouldn't work. Finally i stopped taking them and i'm recovering my ability to walk without my doctors. Never again.

  • @mirosawosstanislawos5946

    @mirosawosstanislawos5946

    Ай бұрын

    I know what you saying. My father was harmed in this way, statins obviously put him on a chair which ultimately was hard to reverse (process was very slow).

  • @Rusty6507

    @Rusty6507

    Ай бұрын

    Yep, with statins, my legs hurt so bad that I couldn’t sleep. Then I was put on RX drugs for that, which damaged my stomach. I then refused to take statins…10+ yrs later, still have GERD from the stomach damage.

  • @judithgee8523

    @judithgee8523

    Ай бұрын

    AMEN

  • @jangrosemartindale8740

    @jangrosemartindale8740

    Ай бұрын

    Rhabdomyolysis is a COMMON serious medical condition, muscle wasting, requiring hospitalization, the treatment is usually IV fluids to flush the overdosage of Statins from your body. Males were often the victims of overdosing high milligrams of Statins by physicians when their LDL range is too high. Sadly, most physicians still don’t understand the Statin info has been corrupted by Big Pharma.

  • @cynthiasmith4966

    @cynthiasmith4966

    Ай бұрын

    Someday, research will show that statins helped create dementia. Sad to read all the comments of drug injury and sad to help my beloved Mom end her journey through suffering hallacious dementia due in big part from very long term statin use.

  • @cleanqueen75
    @cleanqueen7523 күн бұрын

    I had to actually tell my pcp that I want a CAC TEST and a carotid scan. She told me “do you want to die young if you don’t take this statin?” It’s pathetic that a patient has to do their own research. Why didn’t my doctor order me tests before putting me on a statin? I think it’s all about the money and they are pill pushers!

  • @kinflorida579

    @kinflorida579

    17 күн бұрын

    They get kickbacks on percriptions they write

  • @christymartinez2078

    @christymartinez2078

    11 күн бұрын

    Fire your doctor. Find a new one

  • @MaryHink

    @MaryHink

    3 күн бұрын

    Yup

  • @user-xj5xp6qz5g
    @user-xj5xp6qz5gАй бұрын

    blaming LDL for atherosclerosis is like blaming skin for skin cancer. Just because its there doesnt mean it caused it.

  • @HughTauerner
    @HughTauernerАй бұрын

    The major reason why 1 in 2 American adults has "high" cholesterol is because they've lowered the "normal" level so much that almost no one has normal cholesterol. Total Cholesterol, before Statins, used to be 240 - 280mg/dl

  • @adayinapril581

    @adayinapril581

    Ай бұрын

    Great point and very true!

  • @wendellrider1212

    @wendellrider1212

    25 күн бұрын

    Statin should be banned! BANNED !

  • @adrianan.945

    @adrianan.945

    23 күн бұрын

    I was looking for this comment. 100%

  • @arnoldfrackenmeyer8157

    @arnoldfrackenmeyer8157

    3 күн бұрын

    This is true. The best way to get rid of "high cholesterol" is raise the guidelines back up to where they need to be.

  • @howtodoitdude1662

    @howtodoitdude1662

    3 күн бұрын

    Similar to oil changes, it used to be every 7500 miles, now its 3000 miles. It’s all about $$$

  • @katewilson8455
    @katewilson8455Ай бұрын

    In the UK and yes was put on statins. 2 yrs later I was taken into hospital because the statins were killing my liver! My joints are ruined, I've developed an autoimmune disorder and become insulin resistant because of the liver damage. My glucose levels increased to diabetic levels and my body was jiggered! My GP told me that diet change would make little difference to my cholesterol number. 2 weeks ago I ran across a video by Robert Lustig and had the eureka moment. The cholesterol number is B.S. and everything that is wrong with me is caused by sugar and starches...(in my case it's starch, I don't really eat refined sugars) Its been 2 weeks, I've drained sugar and starch from my system, I fast 20 hrs a day and my colitis and joint pain have gone! I've dropped 5 kg and feel no hunger! I will never automatically take a pill offered by a Dr again before I've done my own research. Cut out starch/sugar/processed food and fructose...it has changed my life already!!! 54 yr old who felt 80 and now feeling younger every day! 😊

  • @dsa2591

    @dsa2591

    Ай бұрын

    I'm so sorry you went through this. I am always telling people to do their homework, don't just take any pill your Dr. shoves down your throat.

  • @gingermonroe4153

    @gingermonroe4153

    Ай бұрын

    Had a similar experience Doc arbitrarily ordered a drug f me that was in my profile but hadn't taken f a long while Thinking. Without reading the readout, it would help me relax It did the opposite caused severe problems Always read the the read out info t see what side-effects are Dangerous Dangerous drugs affecting us humans Beyond terrible 😮

  • @rolandocuevas4563

    @rolandocuevas4563

    Ай бұрын

    Oh yes. My cardio put me on statin but the GI wants it out, but the choice is mine. The truth is I never take statin drug except when at 56 the doc put me on a statin drug , 2 pills and my fingers felt as if its bursting. I threw the rest . since then i just let t The doc prescribe it but i really dont take it, i am now 77

  • @BrianDoherty-bl6so

    @BrianDoherty-bl6so

    5 күн бұрын

    I agree cause more harm then good

  • @donajoanas
    @donajoanas25 күн бұрын

    *I had very high blood sugar I only managed to improve my health when I found a WONDERFUL treatment,❤❤ if you want to know about it, I left the video in the comment reply*

  • @donajoanas

    @donajoanas

    25 күн бұрын

    es kzread.info/dash/bejne/mJWJ1MycY7PAY7Q.html

  • @catherinefrancis5827
    @catherinefrancis582727 күн бұрын

    Totally agree with what doctors do- simple blood tests, then looking at numbers, then prescriptions😢😢 I refuse to take drugs🙏🙏🦋

  • @JesusIsMySaviour3
    @JesusIsMySaviour3Ай бұрын

    I had a heart attack and was given multiple statins. They affected my joints, knees, shoulders and greatly reduced my mobility. I suffered pain in my joints and finally stopped taking Statins against my doctors advice. I have been off Statins for 2 years and am still recovering from the side affects of this horrible drug!

  • @csabaturjanszki375

    @csabaturjanszki375

    Ай бұрын

    How long did you take it?

  • @JesusIsMySaviour3

    @JesusIsMySaviour3

    Ай бұрын

    @csabaturjanszki375 I took it for a year but wouldn't recommend it to anyone! I know several people who have also stopped due to severe joint pain and affected mobility.

  • @angelasummers5750

    @angelasummers5750

    18 күн бұрын

    How is your cholesterol panel?

  • @dakotalynn4773
    @dakotalynn4773Ай бұрын

    There is a huge difference between relative risk and actual risk! They lie about statins!!

  • @makaisenki

    @makaisenki

    Ай бұрын

    Marketing is 90% lying and 10% having a good product.

  • @daveb8449

    @daveb8449

    Ай бұрын

    @@makaisenki And in this case, there is zero % good about statins.

  • @techadsr

    @techadsr

    Ай бұрын

    ​@@daveb8449not 0% good. The pleiotropic effects Dr Westman mention include reducing inflammation which is good. But there are other ways to get that reduction that doesn't have side effects. They also help to stabilize or calcify plaque in arteries.

  • @denofpigs2575

    @denofpigs2575

    Ай бұрын

    ​@@makaisenkiA good product sells itself.

  • @davidbusciglio5529

    @davidbusciglio5529

    Ай бұрын

    Exactly. If you uncover the layers, it really is a poorly veiled slight of hand.

  • @sentinel2199
    @sentinel219914 күн бұрын

    Thanks for providing a balanced analysis from the perspective of a real practising doctor!

  • @corangulath4287
    @corangulath4287Ай бұрын

    It’s refreshing to know there are Dr’s like Dr Westman who really want to help there patients not just prescribe drugs you have to take the rest of your life.

  • @ritazimmelman4769

    @ritazimmelman4769

    29 күн бұрын

    I totally agree!

  • @SweetSassyBull
    @SweetSassyBullАй бұрын

    Oh my, I was so thinking that you were going to disagree with Dr Dhand (I don't know why). I was very relieved when I started listening to you. Dr Dhand is a breath of fresh air and a fighter for people's health rather than a pusher of pills. In the future we will look back with horror at how people were treated for some preventable illnesses.

  • @GBB70
    @GBB70Ай бұрын

    Male, age 71. Recently had a major heart attack requiring 2 stents. They put me immediately on Lipitor 80mg when my LDL was 131 Trig 112 HDL 46. I haven’t shared this with my cardiologist but on my research on Statins I have pill cut my 80mg Lipitor to 40mg. The reason my preliminary numbers in a Lipid Panel showed my LDL well below 100. Upon further research my plan is to stop Statins all together. I’m focusing my efforts on my metabolic health.

  • @jeffreehealingwaters8169

    @jeffreehealingwaters8169

    Ай бұрын

    From my research after a heart attack statins do help. Sorry I can't site the research. But I think it was Peter Attia or Prev Med. Statins do take down inflammation. I would stay with the 40 dose.

  • @michaelbarker742

    @michaelbarker742

    Ай бұрын

    @@jeffreehealingwaters8169Attila comes across as a closed minded narcissist to me.

  • @daveb8449

    @daveb8449

    Ай бұрын

    You should stop all statins immediately.

  • @fffmaddi5546

    @fffmaddi5546

    Ай бұрын

    Carnivore diet.

  • @michaelbarker742

    @michaelbarker742

    Ай бұрын

    Your numbers aren’t bad. Why such a high dose?

  • @haroldgreen1425
    @haroldgreen1425Ай бұрын

    My doctor has really given me a hard time about my cholesterol. I relented and tried statins but suffer so much joint pain that within a week of taking a statin I'm effectively crippled. Unable to use my hands or walk comfortably. My doctor actually said to me if you don't get your cholesterol down you're going to die. I'm 74 and have eaten a very low carb diet for 30 years now. I'm still active, my weight where I want it. My triglycerides are very low and hdl fairly high. My ldl got up to 196 so I tried taking a niacin supplement. It quickly dropped my ldl down to 138 at my last blood work. I recently had a heart scan that came back negative for blockages. Lately I've run across a couple of studies that suggest after the age of 65 the higher the ldl the lower your mortality rate is. So now I'm concerned that lowering my ldl may be a mistake healthwise for me.

  • @Cyberrjey001

    @Cyberrjey001

    Ай бұрын

    😥Yes, it was.

  • @JesusIsTheAnswer332

    @JesusIsTheAnswer332

    Ай бұрын

    Wow! Something to seriously think about. Thank you for sharing

  • @jeffj318

    @jeffj318

    28 күн бұрын

    Time to shake the dust from your feet and leave the doctor in the rearview mirror.

  • @josephsmith961
    @josephsmith961Ай бұрын

    I was prescribed a statin, and 3 months later I had type 2 diabetes. My blood sugar went down 11 points after just 3 weeks on an almost carnivore diet. I will never take a statin again.

  • @dsa2591

    @dsa2591

    Ай бұрын

    I'm working toward carnivore. Doing 100 carbs, then 50, then 25, than carnivore. I was on the Meditarranean diet, supposedly the healthiest diet in the world and best to lose weight. I gained 10 lbs. and was so sick, I could barely get out of bed. Carbs will kill you!

  • @howtodoitdude1662

    @howtodoitdude1662

    3 күн бұрын

    The same happened to me! I became pre diabetic after using statins! Now they want to push diabetic pills on me!

  • @TomCarnivore
    @TomCarnivoreАй бұрын

    Another Dr. Westman video, happy days!

  • @Suelynngrr
    @SuelynngrrАй бұрын

    Thank you very much for addressing this, Dr. Westman. It is the Statin that gave me diabetes. PLEASE would you address those of us who have FH and how this all fits in. It made no sense to me to have diabetes as well as high LDL, so I stopped the statin after decades, but I still have the worry about the high LDL. So far, I am managing to lower carbs and ditched two oral diabetes meds as well and my blood glucose is slowly starting to come down but always higher in the morning on waking. My BP is also improving but goes up in the doc's office. There are very few doctors left that I trust, so I feel like I'm on my own with this. From Manitoba, Canada and turned 68 last month.

  • @tony3998

    @tony3998

    Ай бұрын

    Glukos is always high, then normal in the morning, because the liver makes glukos for you to wake up in the morning and give you energy.

  • @rogertidd5220

    @rogertidd5220

    Ай бұрын

    Statins do pose a significant risk of developing type 2 diabetes.

  • @AnneMB955

    @AnneMB955

    Ай бұрын

    Me too, do not trust many doctors. They don’t seem up-to-date with latest knowledge. Quick to send us off for tests and prescribe.

  • @Petunia-fl9lu

    @Petunia-fl9lu

    Ай бұрын

    have you seen all Dr David Diamond's videos, he has FH very very interesting. He talks about clotting factors being more important he is not on statins himself, and yes if you are female, statins raise your diabetes risk. Do watch his videos...

  • @Suelynngrr

    @Suelynngrr

    Ай бұрын

    @@Petunia-fl9lu Thanks very much, I have not seen his videos. 🙂

  • @alycep.5886
    @alycep.5886Ай бұрын

    Thank you Dr Westman! Looking forward to more videos on the Wed and Fri now.

  • @stevelanghorn1407
    @stevelanghorn1407Ай бұрын

    Excellent reaction Dr Westman.

  • @user-vk4vw4le1c
    @user-vk4vw4le1cАй бұрын

    Oh my goodness did you explain this right this is so true. This doctor explained it right putting a Band-Aid on everything not getting to the source of the problem.

  • @garyhiland6013
    @garyhiland6013Ай бұрын

    Dr. Dhand is a treasure. I love his common sense approach and courage to push back against bot-doctoring and the medical-pharma-big food complex. His truth-telling on topics like this and Covid has gotten him in trouble with freedom-restrictors which we should look at as a badge of honor these days.

  • @dnguyen787
    @dnguyen787Ай бұрын

    I'd think that you need to listen to your own body. If taking statin makes you feel worse, stop it right away! 😊

  • @petramaas8574
    @petramaas8574Ай бұрын

    There are other reasons why many people nowadays have high cholesterol. In order to enlarge the market, the idea "the lower the better" was introduced and the limits were lowered several times. When there was a new medication that could lower cholesterol even further, this was made the new target.

  • @Mrs.TJTaylor

    @Mrs.TJTaylor

    Ай бұрын

    And that’s totally slimy.

  • @jobrown8146

    @jobrown8146

    Ай бұрын

    I've heard that it was found many years ago that it was good to have high HDL and they tried to create a drug to increase HDL but they didn't manage to do it so they then targeted the LDL.

  • @makaisenki

    @makaisenki

    Ай бұрын

    There are doctors that are on social media saying that you should have LDL under 60. Considering that I looked at the science and merely asked the question how much LDL do you need in order to build muscle, I find several studies were the low LDL group could not build any muscle, despite eating the same foods as the high LDL group they gain no lean muscle mass versus 5 lb in the high LDL group they gained 30% more strength despite 120% in the high LDL group. Would you even want to live longer if you're a fall away from dying in the next 6 months and have to spend 10 grand a month on a facility where people take care of you while being surrounded by people with dementia? I work with geriatrics I make under 30 grand a year by the time I'm 80 the minimum rent at these places is going to be 15k to 30,000 a month. Actually that's incredibly conservative compounding annually at 5% using an interest rate calculator in 40 years before I even hit 80 years old that's going to be 36,000 a month from $5,000. Everyone better hope it doesn't go up 9% a year on average because that's 157,000 a month. If it goes up 1% it's not horrible it's only 7,000 a month. Inconsidering a $800 apartment in the ghettos would be somewhere between $5, 000 and 25,000 a month, depending on a 5 or 9% increase year-over-year... So there's no way an assisted living facility is going to stay at the rate of 1.3% a year that it used to be. America is going to collapse long before that though. We've reached the tipping point. We are crossing it soon. Once rent in the ghettos in government subsidized housing hits three digits a month at that point 5% inflation is still $50 a month which is $600 a year increase, which is like half the minimum wage of just increase going by federal numbers and I live in an area that goes by federal numbers. The idea that people should be limiting their muscle growth cholesterol carrying lipids is so absurd. That's the problem with being a specialist in a field true intelligence is seeing a wider picture. If you can't see the bigger picture you're going to be trying to save some fancy curtains while your house burns down and you're not going to escape the fire.

  • @jobrown8146

    @jobrown8146

    Ай бұрын

    @@makaisenki I'm preferring quality of life over quantity.

  • @denofpigs2575

    @denofpigs2575

    Ай бұрын

    ​@@jobrown8146Best part about that is if you focus on quality you get both.

  • @Sandra-hk8ks
    @Sandra-hk8ksАй бұрын

    Thank you so much. We need people like you,

  • @jima7925
    @jima7925Ай бұрын

    70 YO male. In the last year (12 months keto) lost 70 lbs. Waist from 44 to 36. Trigs from 300+ to 76 BP 118/58. Fasting glucose 89. LP-IR score 25. HOMA-IR 1.3. HDL from 30s to 56. BMI from 33 to 25. BUT..... LDL from 90 to 211 and total C from 180 to 294. (was on a statin but stopped a year ago) LDL Pattern A via NMR test. Lots of big fluffy LDLs floating around. Am I healthy or about to die? Guess what my doc says.

  • @Mrs.TJTaylor

    @Mrs.TJTaylor

    Ай бұрын

    Laughing. Your doc says the same about you as my doc says about me.we’re giving our doctors heart issues. :)

  • @sunshinekis8583

    @sunshinekis8583

    Ай бұрын

    Congrats to you increasing metabolic health! 😊 My cholesterol is even higher, total 650, LDL 360! I live 😅

  • @robertlaslo8951

    @robertlaslo8951

    Ай бұрын

    I say you are definitely on the right track. It has been MY track for several years. I refused to take statins 12 years ago and am glad I did so because cholesterol is NOT a problem.

  • @jobrown8146

    @jobrown8146

    Ай бұрын

    @@Mrs.TJTaylor I thought my GP was going to have kittens when she told me you know I want you on a statin and you are at a high risk of heart disease, even with a CCTA (with contrast) score of zero at 66 years old. She is using the TC/HDL ratio which is high because of high LDL whereas I use the Trig/HDL ratio which is good because my trigs went down and my HDL went up. Note though, that it was the cardiologist who recommended the statin in the first place when I went back to get the scan results, and he is Head of Cardiology in a major hospital and has a huge concern about the obesity epidemic; he even told me that he was pleased that I had changed to low carb and had lost a lot of weight.

  • @tradermunky1998

    @tradermunky1998

    Ай бұрын

    Your good health is deadly! 😂

  • @DivalerioKitchens
    @DivalerioKitchensАй бұрын

    Thank you for this Dr. Westman. You and Dr Dhand are both amazing.

  • @user-uk8kb8kw6z
    @user-uk8kb8kw6zАй бұрын

    Dr. Westman, thank you so much for making me feel so much better for refusing to take Crestor (a statin) for my LDL "problem". I saw my doctor yesterday, as a followup on testing results completed the previous week. Although she was very surprised but pleased at my numbers on everything, she strongly insists on me taking Crestor. 90 days ago, I began carnivore and have stayed true with no "cheating". I have lost 23 lbs. so far. Comparing all my latest numbers since my last blood/urine labs three months ago: my numbers for diabetes dropped 5.9 from 7.0 Total cholesterol : dropped 193 from 196 Triglycerides: dropped 93 from 129 HDL: dropped 44 from 56 VLDL: dropped 17 from 23 LDL: rose 132 from 117 (this is where she is freaking out). Total Agatston Calcium scoring from test taken 10/13/23 is 284 (a 75% rank for my age and sex). No history of stroke or heart problems; I am 76. . Doctor has also reduced thyroid Rx in half from .150 mg to .88 mg. I had begun taking 3 drops of iodine/iodide daily at the beginning of my diet. ALL of my numbers of the remaining lab results have dropped also. All is this success has been, because of absolutely NO CARBS in any form. I am encouraged to continue with my High Fat/No Carb program. I am actually looking forward to seeing her again in three months and prove to myself and to her that I do not need as much or any Rx and that the first line of defense is to get the weight off and health will follow. I have followed your channel for several years now and wanted you to know how much I have learned from your calm and professional demeanor. Thank you again. Grandma from Texas

  • @chriss4949
    @chriss4949Ай бұрын

    HEY..what causes RAIN? He looks outside, it’s pouring down,….and everybody has an umbrella. Hey, umbrellas cause rain………..

  • @ritazimmelman4769

    @ritazimmelman4769

    29 күн бұрын

    I love this comment!! It hard to tell where the truth it- does matter if it's someone on the internet or your face to face with a doctor!

  • @ritazimmelman4769

    @ritazimmelman4769

    29 күн бұрын

    I meant it doesn't matter

  • @kinflorida579
    @kinflorida57917 күн бұрын

    Thank you! Keep spreading the truth!!

  • @123456BobJackson
    @123456BobJacksonАй бұрын

    Thoughtful Doctor just like you. Thanks

  • @rosalindolson8688
    @rosalindolson8688Ай бұрын

    Excellent practical advice!

  • @AndiS-dz4pq
    @AndiS-dz4pqАй бұрын

    Thanks Dr Westman.

  • @medimint
    @medimint29 күн бұрын

    The video has so much useful information, thank you very much Doctor!

  • @remyvictoriano7604
    @remyvictoriano7604Ай бұрын

    Thank you so much for the very interesting topic about cholesterol. Listening from the Philippines.

  • @JMK-vo8pv
    @JMK-vo8pvАй бұрын

    During my 10 year journey through the world of Coronary Artery Disease, I have been evaluated by multiple cardiologists. NOT one of those "heart experts" have even come close to practicing "shared decision making"!

  • @dakotalynn4773
    @dakotalynn4773Ай бұрын

    Keep your ldl and keep your brain. Lipitor killed my mom's brain. She lived her last 6 years in full-blown dementia. I'm angry!

  • @cherylking1459

    @cherylking1459

    Ай бұрын

    Same thing happened to my mom. I am not falling into that trap.

  • @kennethh4904

    @kennethh4904

    Ай бұрын

    Dr Nadir says Statins cross the blood brain barrier. The Brain makes its own cholesterol. Cholesterol from the food you eat and Cholesterol made in the liver, does NOT cross the blood brain barrier. The Brain doesn't need the statin!

  • @AnneMB955

    @AnneMB955

    Ай бұрын

    I don’t blame your anger. Not sure what meds my mother was given but she slowly declined until she couldn’t feed herself.

  • @scottdanielson4816

    @scottdanielson4816

    Ай бұрын

    My dad has dementia and his cardiologist prescribed a statin. The statin was causing pain in his neck and his hand. A day after stopping taking the statin, the pain was gone. It's fortunate there was pain, otherwise he might still be on them and his dementia would likely be getting worse. Oh, and his total cholesterol was only around 210 anyway, so really no reason to get worried about cholesterol.

  • @dakotalynn4773

    @dakotalynn4773

    Ай бұрын

    @@scottdanielson4816 I hope your dad is doing well!

  • @scottpierce9195
    @scottpierce9195Ай бұрын

    It is always a good day when I get a notification that Dr Westman has posted a video😊

  • @leo.girardi
    @leo.girardiАй бұрын

    Please show me any data (not from drug companies) that cholesterol is bad?

  • @sunshinekis8583

    @sunshinekis8583

    Ай бұрын

    Lol, unfortunately to doctors such data does not excits 😊

  • @FuzzyOneTwo

    @FuzzyOneTwo

    15 күн бұрын

    Amen mate. Carnivore here and have regular arguments with my GP.

  • @triciapyke2867
    @triciapyke2867Ай бұрын

    Love your reactions. I deeply respect your opinion.

  • @robertjeffery6100
    @robertjeffery6100Ай бұрын

    Great information thank you

  • @wickedstitches5284
    @wickedstitches5284Ай бұрын

    Oh, I just found this Dr on here and I really like him.

  • @andygriffiths9916
    @andygriffiths9916Ай бұрын

    Very good. Thank you.

  • @dkhallal
    @dkhallalАй бұрын

    So here’s my question, how the hell does someone find a doctor that is thinking in this way without having to go through a trial and error with each one.

  • @minervamckoy6724

    @minervamckoy6724

    Ай бұрын

    Yes, true, how do we find him or one in our area?

  • @ritazimmelman4769

    @ritazimmelman4769

    29 күн бұрын

    It may be one has to go to a doctor that isn't in managed care ie an HMO or a PPO or the like! The average person doesn't have the $$ for this! Oh well?

  • @ssmith3517

    @ssmith3517

    10 күн бұрын

    Unless you are in an accident, who needs a doctor? Eat healthy and let your body look after itself. Their are herbal remedies that your immune system will appreciate to help it do its job. I came off heart pills and other drugs (slowly) prescribed by my gp and I've never been healthier, im 62. One more thing..our brains are made 95% of cholesterol, taking statins to reduce cholesterol...serious cognitive decline is a real problem too, not just the physical issues it causes. 🙏

  • @PlainJane1421

    @PlainJane1421

    10 күн бұрын

    Look up Dr Ovadia…he is a rockstar in this area and you can become a patient without going to his office. Since my husband‘s heart attack, we have been doing a lot of research online, and we found these wonderful doctors who Go along with getting to the root of problems.

  • @grow2flow282
    @grow2flow2828 күн бұрын

    Love his outlook! Love his passion… love his truth 🎉❤

  • @jamesahilliard
    @jamesahilliardАй бұрын

    Yes, cardiologist used fear tactics when writing script for Crestor. Told me he had no other data to go on other than millions of people who take statins are out of hospitals and graves. Great video. 👏🏻

  • @tombirney7276
    @tombirney7276Ай бұрын

    Please consider for future posting the legal aspect of refusing a statin rx. IE; "Thank you doctor, I've done my own research based on the postings of several physicians and for now I am refusing this rx. I am happy to sign a legal release for any legal complication that would redound to you. Thank you again, when can I schedule another appointment in the future, I value your efforts on my behalf."

  • @scottdanielson4816

    @scottdanielson4816

    Ай бұрын

    I think it's time to find a new doc if they are pushing statins.

  • @mariad1151

    @mariad1151

    Ай бұрын

    if it's a best practice, all docs would be required to recommend it right?. Seems like there's liability involved.

  • @judithgee8523

    @judithgee8523

    Ай бұрын

    HURRAH !!!

  • @JasinNatael

    @JasinNatael

    Ай бұрын

    Should be the other way round. If the doc tries to put you on a medication, have him sign that it is absolutely necessary and that he will take full responsibility if the med is harming you. Including monetary compensation for any harm caused.

  • @cherylradabaugh2720

    @cherylradabaugh2720

    29 күн бұрын

    Me ,too

  • @SweetChicagoGator
    @SweetChicagoGator26 күн бұрын

    Being an insulin-dependent diabetic, this video is an eye-opener ! 💟

  • @Krunch2020
    @Krunch2020Ай бұрын

    After getting yelled at by my (former) doctor for my refusal to listen to him about LDL and statins I have decided to avoid doctors unless I need stitches.

  • @dsa2591

    @dsa2591

    Ай бұрын

    I am at that same point! I've changed doctors twice since the one I loved left because of her husband's job. I thought this one would be great, but he is insulting if you don't want to do what he wants you to do. He never touches me. I feel like he's just a referral service, not a real doctor.

  • @gregroth4696
    @gregroth4696Ай бұрын

    Loved the last 5 mins. Keep em short. I’m not seeking a medical degree only what makes sense while balancing where I spend my time. Thank you so much Doc. Ps. I do both try and eat keto ish healthy. And use statins to keep numbers where I want them. Blessings!

  • @robyn3349
    @robyn3349Ай бұрын

    Thank you!

  • @Petunia-fl9lu
    @Petunia-fl9luАй бұрын

    very good discussion

  • @chrisminifie219
    @chrisminifie219Ай бұрын

    My understanding is that in so far as statins work, it is because they reduce the tendency to develop blood clots, and also reduce inflammation, not because they reduce LDL. So lifestyle changes that reduce both those factors will be more effective at reducing risk than a statin

  • @tradermunky1998

    @tradermunky1998

    Ай бұрын

    You need to do a simple Google search. Statins are cholesterol lowering drugs that block the body's ability to make cholesterol.

  • @RBzee112

    @RBzee112

    Ай бұрын

    Statins also disrupt LDL production in the liver.

  • @Cyberrjey001

    @Cyberrjey001

    Ай бұрын

    It's true, but statins elevate the risk of ICH and other negatives.

  • @chrisminifie219

    @chrisminifie219

    Ай бұрын

    @@Cyberrjey001 what is ICH?

  • @Cyberrjey001

    @Cyberrjey001

    Ай бұрын

    @@chrisminifie219 intracranial hemorrhage, brain bleeding. (Worse than normal stroke).

  • @nolanrono6204
    @nolanrono6204Ай бұрын

    My age 73, my Dr adm Statin for 5yrs now, I feel my Health going down.

  • @kinflorida579

    @kinflorida579

    17 күн бұрын

    Stop taking them...😮

  • @richardgonzalez6075
    @richardgonzalez6075Ай бұрын

    People need to get on the keto diet or even the Carnivore diet! I got my blood work reading this past Tuesday and my doctor used the words, “ I am amazed at how you lowered all your readings and how you have improved on everything “! This made me feel so happy and it’s due to the carnivore diet!

  • @AnneMB955
    @AnneMB955Ай бұрын

    Been watching Dr. Dhand for a while now. Am starting to trust his viewpoints. Was wondering too if our cholesterol reading is high, it’s for a good reason. Repairing the body, so this should not be lowered with statins or Oreos. 😉 Really like the way you, Dr. Westman, add your thoughts too. Double the benefits. 👏

  • @wellinever1558
    @wellinever155811 күн бұрын

    So glad you refer to him he is such a wonderful brave Dr. He is is very knowledgeable. Also SA push statins

  • @tl56kmair
    @tl56kmairАй бұрын

    My brother-in-law just had a quad bypass surgery. The Dr told him how lucky he was that it didn't kill him. He had been on statins for several years. When i asked him what good they did for him, he said they lowered his numbers. Totally felt like they helped him.

  • @mattm1686

    @mattm1686

    Ай бұрын

    lowing cholesterol is like lowering money in your bank account neither is good! Higher is way better

  • @lindathompson4770

    @lindathompson4770

    Ай бұрын

    Maybe he has the familial, hereditary issue of naturally high cholesterol. Statins can help someone with that. Good that he's ok!

  • @jeffj318

    @jeffj318

    28 күн бұрын

    Your brother-in-law continues to drink the cholesterol Kool-Aid. If he could change to a keto / carnivore diet that would help him so much more.

  • @tl56kmair

    @tl56kmair

    28 күн бұрын

    @@jeffj318 Can't argue with that. You can lead a horse to water...

  • @thomassaddul
    @thomassaddulАй бұрын

    Been followin him since COVID times

  • @Jimwin2
    @Jimwin2Ай бұрын

    I’ve been on a carnivore diet for several months and my results couldn’t be any better. Mental and physical changes have been astounding to say the least. Every time me and my sister, who is a nurse, talk about my diet she brings up cholesterol and insists it can’t be good long term to eat so much red meat. It always puts doubt in my head even though I’ve read up on this issue a lot.

  • @mikel772
    @mikel77228 күн бұрын

    I just love that I got a Jardiance commercial while watching this .....

  • @duffraene4491
    @duffraene4491Ай бұрын

    I’m 70 and been taking cholesterol meds since 2015. I’ve realized through process of elimination the meds are causing severe upper intestinal pain. Through research I’ve found that the common non medicinal ingredient in two of the meds is lactose. I’m not sure if that’s the cause but I’ve cut out the meds so I’m now trying to get my blood pressure down. It was good while on the meds but since I’ve cut them down my blood pressure is higher than it should be. I’m concerned but the pain the meds are causing me is unbearable. I need help to get my blood pressure down to normal level. Thankyou for your video. I’m sure you’re helping many people like me. God bless you. ❤

  • @faithburns8379
    @faithburns8379Ай бұрын

    The “lifestyle change” every single doctor will tell you is to go plant-based. And we know that that’s not good enough for human health.

  • @Nita-uu4nj
    @Nita-uu4nj14 күн бұрын

    How can I approach my primary care physician about nattokinease? She nixed my trying the keto diet, said vegan diets were unsustainable, no chromium pilynicotinate - she doesn't even want me taking garlic capsules. She's constantly pushing metformin and statins, which so far I've declined. I asked about side effects of metformin, she pivots to the many benefits of treating prediabetes. I asked if statins create a greater risk of diabetes, she denies this is true, any side effects would far outweigh the possible risks of high LDL levels, but doesn't talk about adverse side effects of statins. Sad.

  • @trekketoo
    @trekketooАй бұрын

    I love Dr Dhand! He's great!

  • @ligiasommers
    @ligiasommersАй бұрын

    I had that pressure from my doctor to take statins , even though I am thin , strong , eat well , low blood pressure and using HRT. She I used the Mayo Clinic site I had 97% chance of never having a problem . But … the pressure is so intense because drs are evaluated by the meds they prescribe that it is in my file now that I refused to take the drug , but she offered 😡 thank you Dr EW🙏🏻

  • @user-lp2un7rc9x
    @user-lp2un7rc9xАй бұрын

    Oh my! Dr Westman, last July 2023 my A1c was 8.8.. 7 months later on strict Ketogenic diet and moderate exercise (walking 3 miles per day), my A1c is 5.5! Stopped metformin and tossed out my statin. Am still maintaining a normal A1c and the neuropathy in my feet has subsided.

  • @charleswilson4598
    @charleswilson4598Ай бұрын

    I stay aware of my cholesterol numbers but I don't obsess over them. I think cholesterol is overrated for most people.

  • @caroltweedie9729
    @caroltweedie9729Ай бұрын

    I think if you eat sensibly, have a varied diet, take moderate exercise according to your age you should be ok.Well I hope so. I know of many relatives who made it to their late eighties with the same regime and the main thing I do recall is them taking more and more meds following doctors orders which itself became an issue; one med causing a problem leading to yet another to counteract. We all die of something and I want to be meds free for as long as possible.

  • @sgtcoach62
    @sgtcoach625 күн бұрын

    i agree with the fear part. at VA a clinical pharmacist stated ythsat it would prevent heart attack.

  • @dacisky
    @daciskyАй бұрын

    My problem is I'm a lean mass hyper responder.Could you address this in a video?

  • @lowcarbkitchen
    @lowcarbkitchen19 күн бұрын

    I just stopped my statin after having some issues, and also stopped Praluent. I had a heart attack a year ago, and was put on these. I just decided, against my dr. that I cannot tolerate these, and I have to be the one to chose what I can live (or die) with. I'm following Dr. Westman's phase 1 keto adapt your life diet right now. Have lowered my a1c and blood pressure. Dropped one of my blood pressure meds and this is the way I'm going to go. I'm so tired of their drugs and how they've made me feel. Hopefully will regain the muscle strength that I've lost and feel some life again soon. I'm also off of the small amount of fast acting insulin I was taking with meals.

  • @kathydicioccio6094
    @kathydicioccio6094Ай бұрын

    Should we treat cholesterol? It’s not a disease.

  • @sunshinekis8583

    @sunshinekis8583

    Ай бұрын

    Exactly!😊

  • @lindajane8962

    @lindajane8962

    Ай бұрын

    🎯

  • @saranevillerogueart9627
    @saranevillerogueart9627Ай бұрын

    I was on statins. For like a year ? Caused muscle aches so I stopped taking them. I eliminated pepsi and stopped cheese bread for over a year. Only eat cheese ocassionally now . Homemade mostly I make using vinegar to curdle the nonhomoginized milk I use instead of rennet. I have not ate any kind of meat in 50 years. My cholesterol did go less after eliminating the cheese and bread. I do eat corn tortillas

  • @heatheryoutube1506
    @heatheryoutube1506Ай бұрын

    No one ever talks about dissection of the artery. PLEASE cover this and some of the reasons why it happens. ❤❤❤

  • @techadsr
    @techadsrАй бұрын

    I thought when the increasing profits were mentioned that they would also mention the dropping upper LDL trigger point that has gone from 130, to 100, to 70 and now down to 55 mg/dL over that the las several decades. Where are the studies that back up these reductions? Are they only pharma financial analyses?

  • @methanial73
    @methanial73Ай бұрын

    Actually that saying is really old. It's rumored to be Hippocrates that coined the phrase "Let thy food be thy medicine and thy medicine be thy food".

  • @ketocajun7451
    @ketocajun7451Ай бұрын

    Cholesterol? Why can we not use the proper terminology such as lipoproteins (VLDL, LDL, IDL, HDL, Chylomicrons), Apo(B,C,E) receptors, Triglycerides, esterified-cholesterol, etc. The Lipid numbers come from the the cholesterol in the lipoproteins (that is why it is listed as LDL-cholesterol). We blame the LDL for doing it's job, as the person kills themselves eating and drinking junk!

  • @dsonyay

    @dsonyay

    Ай бұрын

    Keto Cajun… where in La are you? I’m in Broussard

  • @alexi2460
    @alexi246014 күн бұрын

    You're correct, UCMed, SF pushes statins. I refused statins and told my MD, I'll take a few things out of my diet , I did lower my values but cardiologist insisted I take statins. I know how to eat properly but the cardiologist actually got snooty with me.

  • @Dermsurg1
    @Dermsurg1Ай бұрын

    I have never heard the various KZread keto docs explaining away the consistent identification of LDL-related genes in Mendelian randomization studies.

  • @Julia-xf5ps
    @Julia-xf5psАй бұрын

    Could you do a video which addresses the effect on drinking alcohol on LDL’s, VLDL’s, HDL, etc.? Does it work like sugars/carbs? Is it just liver inflammation? .. thank you. 😊

  • @dsa2591
    @dsa2591Ай бұрын

    Thanks for this video. My doctor said my LDL is high, and I asked him "Is it fluffy LDL or small LDL?" He said it didn't matter and wanted to put me on statins. I refused. I'm eating low carb now and am heading toward carnivore. I'm curious to see what eating no carbs does for my body.

  • @SANVELXRP
    @SANVELXRPАй бұрын

    Thank you for clarification! I never hear a doctor explain Shingles in elderly people, they get it on their waist or other parts of the body - and pain is sometimes unbearable for weeks, so they call it Fibromyalgia as they don't know what is the real cause and there is no drug that can treat/eliminate Shingle pain. What are your thoughts on how to help patients with shingle pain?

  • @judithtaylor6916
    @judithtaylor6916Ай бұрын

    1. Drug companies have decreased the so-call acceptable levels of cholesterol, in order to push their drugs onto the market. 2. Blood cholesterol calculation by Laboratories only do an estimate. They do not calculate the whole calculation. And only look at "total cholesterol in the blood rather than "LDL" levels. Doctors are not fixing the main cause i.e. poor diet, sedentary lifestyle.

  • @jerrysims6691
    @jerrysims6691Ай бұрын

    Just a correction: Dr Dhand is a Medical Consultant based in the USA. He is not a UK GP.

  • @colleenhaithcock216
    @colleenhaithcock216Ай бұрын

    Thank you

  • @CarolDee61
    @CarolDee61Ай бұрын

    There's such a swirl about high cholesterol and statins! I saw my doctor yesterday and she just fully believes I need to bring down my cholesterol… I'm resisting so far, so I did condescend to taking red yeast rice. But then I stopped that too, lol.

  • @markfox3083
    @markfox3083Ай бұрын

    All that matters is the size of the particles. The quality of the cholesterol trumps the quantity of it.

  • @desbidgood9382
    @desbidgood9382Ай бұрын

    Very informative I am 75 on micadis 40 for blood pressure and just been prescribed ezetimibe for cholestral but have not taken them ,my blood pressure is good I am fairly healthy and started eating low carb but have always eaten healthy foods never takeaways

  • @CCNewbold
    @CCNewbold11 күн бұрын

    My GP here in the UK has been trying to get me on statins since my husband died in 2017. Every time, I tell him, "No". I've read the research: for women of my age-group, the risk of getting type II diabetes whilst on statins is highly increased whilst the 'benefits' are negligible, and I've put my type II diabetes into remission on my own through a keto/carnivore diet since 2019, yet the doctor persists. He really must need that revenue for his clinic! The more patients they can get onto statins, the more money they get. It's the same for most drugs/treatments. I find it disgusting that, even here, profit outweighs what's really best for patients.

  • @user-pv6fq1um5u
    @user-pv6fq1um5uАй бұрын

    Has there been any study of the use of statins and the increase in pancreatic cancer? Could there be a correlation ?

  • @rickb8763
    @rickb8763Ай бұрын

    So just had bloodwork done and oh I’m sure the doc will want me on statins but I really don’t want to so how’s the best way to go about this? Thanks

  • @kinflorida579

    @kinflorida579

    17 күн бұрын

    When my doctor called in the percription, I just didn't pick it up

  • @dccoletrain
    @dccoletrainАй бұрын

    I appreciate your objectivity as someone that leans towards Carnivore these days.

  • @tfp0052
    @tfp0052Ай бұрын

    "Asked to go on a medication," my ass. My doctor bullied me onto Statins. It made me furious, I fired my doctor, and I canceled ALL of my prescriptions. I fell a week ago, I do that frequently anymore, and injured my right ribcage. It is causing me a fair amount of pain, but I refuse to go to the hospital! No more insurance money for the AMA or any of their stooges!

  • @dsa2591

    @dsa2591

    Ай бұрын

    Please at least go to urgent care and see if you have broken ribs. My friend was stubborn, did not go to get x-rays when he fell, and a cracked rib broke in two and punctured his lung. He almost died.

  • @paulsalvaterra
    @paulsalvaterraАй бұрын

    There is no "bad" cholesterol

  • @DK-pr9ny

    @DK-pr9ny

    Ай бұрын

    Sure there is. LDL can become oxidized, small particle which makes them very bad.

  • @paulsalvaterra

    @paulsalvaterra

    Ай бұрын

    @@DK-pr9ny sure

  • @jaksonvice807

    @jaksonvice807

    Ай бұрын

    You're exactly right, the BS is getting really deep!

  • @jaksonvice807

    @jaksonvice807

    Ай бұрын

    ​@@DK-pr9nywhat's it like having brainwashing and cognitive dissonance believing that nonsense?

  • @DK-pr9ny

    @DK-pr9ny

    Ай бұрын

    @@jaksonvice807 You tell me..

  • @pauletteschiowitz8989
    @pauletteschiowitz8989Ай бұрын

    I’d been put on simvastatin several years ago and one time while crossing a street my leg wouldn’t move sort of like my leg wasn’t listening to my brain. This was th3 first and only time this happened. I took myself off the statin.

  • @judithgee8523

    @judithgee8523

    Ай бұрын

    Good for you. Did you reduce gradually or just stop them all at once?

Келесі