New Guidelines for Treatment of Cholesterol: Prevention of Heart Disease and Stroke

Dr. Robert Baron, UCSF Professor of Medicine, explores guidelines for treating cholesterol and reducing cardiovascular disease. Recorded on 02/18/2015. [5/2015] [Show ID: 29280]
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Пікірлер: 119

  • @josefinorivera4227
    @josefinorivera42273 жыл бұрын

    We all need cholesterols in our body! My doctor prescribed myself 80 mg statin for a period of 30 years. It affected my muscles and got prostate cancer. My immune system was compromised by taking cholesterols medication. I’ll never never take the same mistake for the rest of my life. The one that keeping me going is eating low carb, high fat, moderate protein in my diet. Exercise regularly, keep your thoughts healthy, less stress. Leave the idiots to Mother Nature. Haha! Enjoy life!

  • @perugino25

    @perugino25

    2 жыл бұрын

    I am surprise you are still alive. I rather rely on many doctors who kindly teach us in KZread how our bodies work. Who needs this clowns!!!!!

  • @johnnyflores1978
    @johnnyflores19783 жыл бұрын

    My triglyceride and HDL levels were great my LDL was about 152 and total cholesterol was 226 and the doc wanted me on statins im like no way ill just eat better and exercise more dam docs

  • @machia0705
    @machia07054 жыл бұрын

    Calcium Scan score and determine if you’re insulin resistant. Change diet to address these root causes along with exercise and cholesterol takes care of itself.

  • @igaluitchannel6644
    @igaluitchannel66444 жыл бұрын

    Why does it need to be treated? Those with lower levels of cholesterol die much sooner than those with higher ones.

  • @meggarstang6761
    @meggarstang67614 жыл бұрын

    Pro statins - at least he said this up front before I wasted an entire hour listening to outdated info. I refuse to continue my statin Rx. I am working on lifestyle changes and paying close attention to insulin resistance instead. Lost 30 lbs effortlessly on a keto food plan.

  • @maripogi7

    @maripogi7

    3 жыл бұрын

    Congratulations, Meg! My daughter and her husband are on Keto. They are doing well. If it starts not being "okay", you will know and can act accordingly; listen to your body.

  • @StrategicMadness
    @StrategicMadness4 жыл бұрын

    He said one very interesting things, dietary cholesterol doesn't seem to matter..actually recommends eggs to people. So, since your body actually produces cholesterol ...what are they saying - the body is stupid? Cholesterol is extremely impotant to the body, it is in every cell, forms the basis on certain hormones, plays an important role in body repair, etc. This video is 5 years old as of now. A lot of new stuff has come out since...the roles of inflammation, lp(a), etc...and new test to measure these levels. One of the things he doesn't mention is that a statin can also reduce inflammation, which might be the real reason..but there other ways to do that.

  • @sce1147
    @sce11479 жыл бұрын

    It is disturbing that academia is now characterized by uncritical acceptance of these guidelines. I recommend the video: Questioning the Cholesterol Treatment Guidelines.

  • @svenhuber6533
    @svenhuber65336 жыл бұрын

    Well, all necessary nutrients of humans follow a U shape, too less you will die because your body does not function (Vitamins A, D, minerals like zinc, salt), if you have too much toxicity kicks in. Cholesterol (TC) follows the same U shape, all Meta analyses show that there is that U shape. There seems to be a difference for woman and man. Furthermore you should consider the allover cause mortality and not only CVD, due to the fact that cholesterol is also protective against infections and parasitic and other deceases (cancer). The WHO Analyses of the worldwide allover mortality shows that there is a strong correlation of cholesterol with allover cause mortality and a week correlation to CVD. The best range of Total cholesterol is from 200-240 mg/dl. Even LDL shows the same U shape the best range is 100-160 mg/dl. Even too much HDL shows a higher total mortality and follows a U shape the best range is 40-75 mg/dl. That means lowering the cholesterol below TC 200 mg/dl or LDL 100 mg/dl is potentially dangerous. Furthermore new factors as TC/HDL ratio and others seems to have a stronger correlation to CVD than total TC. Furthermore Age and Sex also plays a role some studies show that higher TC levels than 240 mg/dl are more protective in higher aged men then in higher aged women. Sources: PMC3442317 PMC4106641 PMC26598 PMC5053782

  • @NelsonBrunton
    @NelsonBrunton9 жыл бұрын

    This man is behind the time!

  • @rockybalboa768
    @rockybalboa7683 жыл бұрын

    After 15 years on statins my legs are permenantly damaged with agonizing pain. He's a shill.

  • @robbrewer2036

    @robbrewer2036

    3 жыл бұрын

    I've got the same problem,still battling doctors over stations after having heart attack and stents.

  • @PatIreland
    @PatIreland3 жыл бұрын

    His "1/4 reduction" with statins is a RELATIVE risk percentage. If you were at a 4 in 100 probability, and you get it to 3 in 100, you have a 25% reduction. BFD.

  • @ampa4989

    @ampa4989

    3 жыл бұрын

    Chill, dude. He spends about a fifth of the presentation on that very phenomenon.

  • @publicme
    @publicme9 жыл бұрын

    At 45 minutes, he creates confusion by calling administration of Statin to those at low risk as "primary prevention." Primary prevention means lifestyle change, diet and exercise, not drug administration.

  • @jakubszudrawski1324

    @jakubszudrawski1324

    5 жыл бұрын

    your lack of knowledge angers me

  • @ampa4989

    @ampa4989

    3 жыл бұрын

    I think you misunderstood what he says. He starts out the discussion saying lifestyle changes are vital and always co-therapy. And he wishes he could treat all people with diet and exercise alone. But some people won't change their habits. And some people will need drugs despite best efforts. The last group you mention are not low-risk. He explains that there is a problem with that group as far as prescribing a drug treatment is concerned because doctors can't quite agree whether 7.5% is elevated risk. So some physicians will treat this group and others won't. But if these people can't or won't benefit from behavioral change (and if the physician thinks they are at an elevated risk), then the primary mode of treatment (after trying diet and exercise alone) is drug administration.

  • @PatIreland
    @PatIreland3 жыл бұрын

    This is now five years old. Any update required?

  • @annehynes3332
    @annehynes33322 жыл бұрын

    What about preventive medicine like healthy diet and exercise.?????🤔

  • @anthonymiller9579
    @anthonymiller95795 жыл бұрын

    What about the destruction of testosterone by cholesterol-lowering drugs! LowC equals Low-t!

  • @brucelevine6517

    @brucelevine6517

    3 жыл бұрын

    I didnt know that ?

  • @TalkingOutOfSchool
    @TalkingOutOfSchool4 жыл бұрын

    1) Mortality study: 75 percent of all cardiac deaths have "normal" or low cholesterol. 2) Cholesterol's job is to race to a leak and plug it. It builds up in the artery only while attempting to plug a leak not randomnly. Sometimes it works, sometimes it doesn't.

  • @disturbed4ever2

    @disturbed4ever2

    3 жыл бұрын

    Number 1 is false. 'normal' cholesterol is too high and atherosclerotic plaque develops at LDL levels above 70 mg/dl - 100 can be considered normal even though plaque is building up. The ideal range for preventing plaque is 50-70 mg/dl, generally achievable with a plant based diet. Cardiac deaths with LDL below 70 mg/dl are from people who are taking statins to artificially reduce cholesterol, not those who naturally have cholesterol within that range. The proof is in twin studies and studies on people with genetic mutations that cause them to have low cholesterol naturally below 70mg/dl, their cardiac risk is extremely low.

  • @colinthomson5358

    @colinthomson5358

    3 жыл бұрын

    @@disturbed4ever2 - Plant based = not enough bio available nutrients. And lots of toxins like Oxalates.

  • @zenpiper
    @zenpiper8 жыл бұрын

    This man needs to listen to Stephanie Seneff and then get it right.

  • @raanchol5955
    @raanchol59554 жыл бұрын

    I am concern about the study where some people are given sugar pill. Isn’t that these people with sugar are being put at risk because of sugar?. Why don’t they made a nothing pill which mean. Nothing has been put in that pill.

  • @ampa4989

    @ampa4989

    3 жыл бұрын

    Three is no sugar. It's just an expression. And even if there were sugar in it, or be like one hundredth of a gram.

  • @peggythornton5372
    @peggythornton53725 жыл бұрын

    i need them but get weak muscles or severe pain in the mid liver area?

  • @juanluisfernandez5985
    @juanluisfernandez59858 жыл бұрын

    I see a gap in the statins dosage between *high intensity* and *moderate intensity*, for instance: atorvastatin 40-80 mg in the high intensity, and 10-20 mg in the moderate intensity. What about 20-40 mg?

  • @erastvandoren

    @erastvandoren

    5 жыл бұрын

    There is nothing in between. Usual dosages are: 10, 20, 40, 80.

  • @autopeep24
    @autopeep249 жыл бұрын

    Only made it to 20 minutes nothing said on. Didn't elaborate on muscle aches nothing about memory loss with statins

  • @ampa4989

    @ampa4989

    3 жыл бұрын

    He does mention it and does talks about some others drugs. But they don't work as well and statins are first line if lifestyle changes won't do. So what else is he supposed to do?

  • @autopeep24

    @autopeep24

    3 жыл бұрын

    @@ampa4989 statins make doctors lots of money and give you very little benefit. All the positive statistics are relative risk numbers.

  • @masterkey6596
    @masterkey65964 жыл бұрын

    please can anyone show any proof that statins make a good impact on health?

  • @pipersmitty87

    @pipersmitty87

    4 жыл бұрын

    Raquel M no

  • @andrewheath5948
    @andrewheath59483 жыл бұрын

    This is old BS. Even LDL has very important function. New guildlines are agreed by pharma supporting and paid members. “Statins do work”? Evidence from independent research and peer reviews? . By a 25-33% ? absolute risk on high risk patients.

  • @MW-eg4gu
    @MW-eg4gu4 жыл бұрын

    Finally happened to me. I'd been eating KETO for months. Got to the general practionare dispute the virus goin around. I knew the blood was going to show high cholesterol. It did and I knew he'd put me on a statin. He did. My wife went too and got general checkup. She insisted I take the statins. I've been the indecisive type most of my life, always doing what I was told, but I held off for awhile. Well, what to do? Whatever great benefits I had built up with cholesterol I feared it all would deconstruct. Soon got two phone calls from the drugstore. First was the sweet young thing (I should say I'm 72), 🎶was I taking my statins. How'd I feel? I said yes (lied) and fine. Soon after I wondered if I had been recorded. She didn't say I was. Only three days later I stupidly answer the drugstore again. I know the voice and personality. The head pharmacist was asking the same but not cheerfully. Didn't say we were recorded. Second did admit the health insurance wanted her to ask. I repeated same answer. Later I could kick myself. If I were to later get tough and announce I had stopped, would I be told, OK, then we the health insurance won't be paying for any stroke or heart attack. It's out of your pocket. Is that how it works? What if now they require I go to get blood work every so many months? If I do take the pill, sporadic ally, and colesterol is still high, will the doctor say I must have a higher statin dose? Do I say goodbye to my KETO lifestyle? Help! Anybody know how it works? Please somebody explain.

  • @PatIreland

    @PatIreland

    3 жыл бұрын

    Never admit to anything. The statins don't knock down everyone's cholesterol evenly. Just fill the script, and if it is increased, fill that too. And put the pills in the drawer. Also: diet if overweight, and walk every day.. And at 72, even this speaker said that at age 75 you don't need statins. And 75 is not a hard line, it is just a round number.

  • @disturbed4ever2

    @disturbed4ever2

    3 жыл бұрын

    Keto is a demonstrably unhealthy diet for humans and causes high cholesterol in itself. You need a plant based diet to naturally keep your cholesterol in the ideal range

  • @MW-eg4gu

    @MW-eg4gu

    3 жыл бұрын

    @@disturbed4ever2 Tell it to Dr. Ken Berry! You know? The Tennessee doctor on youtube. And tell also his pal, researcher, Canadian Dr. Jason Fung.

  • @publicme
    @publicme9 жыл бұрын

    He places prevention of heart disease in a secondary by placing it as a secondary topic -- to be discussed later in the course. His job would be dissolved if people learned to be healthy via diet and exercise. 70-80% of medical costs in the US eliminated. So, that topic must be placed on the back burner, something we'll get to. Ha! Thus, his first statement, that is, he has no conflicts of interest, is entirely untrue. That's the lie we have to expose and overcome. Lifestyle change should be the focus, not medicine.

  • @erastvandoren

    @erastvandoren

    5 жыл бұрын

    And you think he doesn't tell people about diet? The truth is - patients won't make any changes. Yes, with Ornish-like diet statins are not needed.

  • @ampa4989

    @ampa4989

    3 жыл бұрын

    What is his conflict of interest?

  • @raywite6665
    @raywite66656 жыл бұрын

    2015, he is in the other room, world's moved on.

  • @terrancebridges9924

    @terrancebridges9924

    5 жыл бұрын

    He's in big pharma's pocket,,

  • @TR5T

    @TR5T

    5 жыл бұрын

    He's taken their course is fear sales.@@terrancebridges9924

  • @carleenmejzastrumunderthes4130
    @carleenmejzastrumunderthes41302 жыл бұрын

    Omg that was so informative for me!

  • @edithelbourn7385
    @edithelbourn73854 жыл бұрын

    You lost me when you agreed with statin drought! Good Bye 😡

  • @publicme
    @publicme9 жыл бұрын

    At 40 minutes, he asserts that consuming butter, cheese, steak, or ice cream doesn't deposit anything harmful in our arterial system, that these are healthy foods. So, he contradicts the claims of doctors like Dean Ornish, Caldwell Esselstyn, John McDougall and others. I've listen to about enough of Dr Baron's lipid hypothesis denial and advocacy for Statin drug use.

  • @libertynow4047

    @libertynow4047

    5 жыл бұрын

    Sugar and carbs are poison. Ketogenic diet is key. Statins just allow people to eat crap. I eat animal and good plant based fats, avocados etc and my triglycerides have plummeted. Typical doctors want everyone on medication. Cholesterol levels are meaningless if you don’t suffer from inflammation from eating excess sugar and carbs

  • @pipersmitty87

    @pipersmitty87

    4 жыл бұрын

    TobiasPublicme also the BS AMA

  • @kathya1956
    @kathya19565 жыл бұрын

    Statins are being used to reduce tumor growth. Sometimes they work.

  • @debk9664
    @debk96642 жыл бұрын

    Hard to believe.

  • @PatIreland
    @PatIreland3 жыл бұрын

    Statins treat the symptom, not the cause.

  • @publicme
    @publicme9 жыл бұрын

    Let's get the entire world on Statins. Let's promote the drug companies. No thanks. I dramatically reduced my risk by changing to a whole plant-based diet. See Dr Dean Ornish, John McDougall, Colin Campbell, Greger, and many others.

  • @nameremoved4010

    @nameremoved4010

    4 жыл бұрын

    No thanks. I am already old and I look better and am stronger than all these guys. I eat meat and eggs. I am sparing with fruit, moderate with vegetables, I include nuts and use some high fat fermented dairy. Do do agree it is also important to eat food that is "clean" of toxics and whole.

  • @charlestait5303

    @charlestait5303

    4 жыл бұрын

    Go Keto

  • @publicme
    @publicme9 жыл бұрын

    Toward 26 minutes, he cites "adequate protein intake" as a dietary concern. Then he cleverly tags on the qualifier for those on a calorie restricted diet... Anyway. Red flag #2.

  • @djformalin
    @djformalin4 жыл бұрын

    Outdatet in 2020 !

  • @paulawagstaff686

    @paulawagstaff686

    3 жыл бұрын

    How??

  • @djformalin

    @djformalin

    3 жыл бұрын

    @@paulawagstaff686 ...many new studies, Paula. A lot of new knowledge, but not in the Lancet !

  • @sarahthomas6335
    @sarahthomas63354 жыл бұрын

    Bad information. I'm on a statin myself for LDL. No convo regarding my triglycerides. 🤬

  • @dialarod8387
    @dialarod83875 жыл бұрын

    His first words were a lie, he has a conflict of interest. Babble waffle and offer up guff with erroneous data, nice work,

  • @publicme
    @publicme9 жыл бұрын

    At 25 minutes, he downplays the role of consuming foods high in cholesterol as a contributing factor to heart disease. He mentioned the old view that eggs are bad for us. New news contradicts this, he claims. He strongly recommends the consumption of eggs. He claims they are an "extremely healthy food." Red flag #1.

  • @ampa4989
    @ampa49893 жыл бұрын

    The amount of misunderstanding, lack of scientific knowledge, conspiracy theory and cult-like adherence to not-yet-proven anecdotal approaches to lifestyle in the comments section is truly astounding. If you already know everything, then you can just skip the video because whatever you're going to angrily state for the benefit of mankind is already in the peanut gallery.

  • @pipersmitty87
    @pipersmitty874 жыл бұрын

    To say he does not financially benefit from prescribing statins he is a bold faced liar. He has a huge conflict of interest.

  • @ronwells8806

    @ronwells8806

    4 жыл бұрын

    Your claim of, conflict of interest,does not exist,it's a different issue.

  • @_____J______
    @_____J______4 жыл бұрын

    I heard some vegan, who's ~100 yo, saying *keep cholesterol under 140* that means keep out from meats and you will have less chances die from heart attack or strokes

  • @reinerschafer1708

    @reinerschafer1708

    3 жыл бұрын

    In the NHANES cohort, I believe that all but one of the centenarians (100 or older) had HIGH cholesterol. So I would take what that vegan told you with a grain of salt.

  • @Birtee229

    @Birtee229

    3 жыл бұрын

    @@reinerschafer1708 only one was high. That is a genetic difference. Don’t ignore the rest because he was lucky.

  • @reinerschafer1708

    @reinerschafer1708

    3 жыл бұрын

    @@Birtee229 of the five living centenarians in the 1999-2015 NHANES data set, their total cholesterol at time of interview (when they were approx. 84 - 85) was, 200, 247, 266, 267, 321. In same order, their LDLc was 130, 175, 168, 181, 229.

  • @Birtee229

    @Birtee229

    3 жыл бұрын

    @@reinerschafer1708 good point. I suspect that was just one aspect that came along with other good genes, etc that allowed them to live SO long when the data seems to show that the AVERAGE person with those kind of numbers is heading toward heart disease. My grandpa lived to be 91 years old. The last 20 years in a wheelchair because of a stroke. Mom ( his daughter) had a stroke in her 40s and so did my brother. I think my genes are more average than those 100 year olds. Some of still can’t take statins without bad side effects. I’m just trying to get a handle on how much at risk I am.

  • @reinerschafer1708

    @reinerschafer1708

    3 жыл бұрын

    @@Birtee229 I am as well trying to get a handle on things. Recently diagnosed with atherosclerosis after getting a CAC score of 1378 at age 59. I ate low fat most of my life and followed the dietary guidelines fairly well. Was eating plant based for a while as well. That high a score comes from a lifetime of buildup, a lifetime of eating things your body doesn't like. I now eat low carb/high fat and my lipid panel has gone from a athrogenic dislipodemia, to perfect, other than my LDL still being a little high. That however doesn't bother me nearly as much as if I had low HDL and high triglycerides. I'm literally betting my life on the fact that LDLc and and high total cholesterol aren't nearly as important as we thought they were for the last 6 decades. Every metric in my body improved with going low carb/high fat except LDL. It makes no sense that everything gets better and one thing gets worse. It's more likely that they don't understand LDL yet. Looking at the recovered Minnesota Coronary Experiment and recovered Sidney Heart Study helps alleviate my worries.

  • @Changeworld408
    @Changeworld4084 жыл бұрын

    If your health is dear to you, look for other people to provide you with info concerning yr health, also avoid Mcdougall, Esselstyn, Klaper, colin campbell,joel fuhrman. I love animals and wanted to believe these guys and stop being responsible for animal suffering and improve my health. unfortunately the vegan diet is largely based on carbohydrates and spiking blood sugar and insulin and is the main culprit for inflammation and the unwanted disease like CVD, stroke, Alzheimer, diabetis....university of California has high contribution from pharmaceutical industry and companies like mcdonalds, kellogs and of coarse the medical professionals need clients(people who are healthy or would be able to take good care of their health with good proven life style changes would no longer visit them, so they would be OUT OF BUSINESS and Mercedes, Porche and Ferrari would loose a good deal of customers)

  • @pbpb253

    @pbpb253

    4 жыл бұрын

    Spot on. HC, high starch is disasterous for most people IMO.

  • @mp7925
    @mp79254 жыл бұрын

    Horrible lies, you should be ashamed. I would understand you 50 years ago, but not today. I have not listened at all to everything, what I have was more then enough.

  • @jakubszudrawski1324
    @jakubszudrawski13245 жыл бұрын

    okay just realized that all these comments ARE actually bots lol

  • @pipersmitty87

    @pipersmitty87

    4 жыл бұрын

    Jakub Szudrawski ur serious bro?? Oh wait

  • @herkkules5120
    @herkkules51209 жыл бұрын

    Two fucking words. Vegan diet. Thats all you need.

  • @TECHSOMETIMESbanglaturorial

    @TECHSOMETIMESbanglaturorial

    8 жыл бұрын

    +Herkkules I read lots of good reviews on the net about how Hybetez Remedy (just google search it) will help you cure your diabetes naturally. Has anyone tested out this popular cholesterol home remedy?

  • @herkkules5120

    @herkkules5120

    8 жыл бұрын

    TECH SOMETIMES shut the fuck up.

  • @jasonmusser9807

    @jasonmusser9807

    8 жыл бұрын

    +Herkkules One word.... CULT!

  • @Anikoxx
    @Anikoxx5 жыл бұрын

    Stop eating animal products and reap the benefits.

  • @mjpucher

    @mjpucher

    5 жыл бұрын

    xxAniko start eating animal fats and your metabolism improves and is not killed by vegan ideology.

  • @nameremoved4010

    @nameremoved4010

    4 жыл бұрын

    I prefer to herd my benefits.

  • @zenpiper
    @zenpiper8 жыл бұрын

    This man needs to listen to Stephanie Seneff and then get it right.

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