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How to interpret your CAC score
I don't know this physician, but know of him and his own history with carbohydrate addiction (he calls himself the carb addiction doc). is name is Dr. Rob Cywes, a South African expat now practicing in FL.
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I think this doctor is giving out very dangerous information pushing high fat keto. Drs. Caldwell Esselstyn and Dr. Dean Ornish were the first two drs to show you can reverse or halt heart disease with a very low fat whole food plant based diet - there are studies to show this.
It's the soft plaque you have to worry about rupturing that leads to strokes and heart attacks. As you clean up your diet, the soft plaque hardens and calcifies and your calcium score will actually go up. Wonder how many people this dr. has harmed with this very bad advice.
I'd recommend looking up the two drs that showed reversal or halting of heart disease. Medicare also covers Dr. Dean Ornish program for heart disease.
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1 ReactionStart listening at about 53:00 in the December 2018 Q&A. - Say you have a calcium score of 100, start following Esselstyn 100%, then have calcium score redone after a year. It could very well go up to 175. Reason is the calcium score tells you 2 things
a) you have calcified plaque and
b) you have non-calcified plaque which is inflamed and is the dangerous kind which can rupture, causing a heart attack.
So a positive calcium scan indicates a higher risk for future cardiac events because you’ll also have the non-calcified plaque.
Now if you change your diet, that inflamed plaque will lose inflammation and become calcified. So, your calcium score may be higher BUT you have decreased your risk of a heart attack. The calcified plaques are stable. The inflamed non-calcified plaques are unstable and can rupture in the turbulent blood flow. The video Q&A also talks about Lp(a), taking leafy greens on Coumadin, Omega 3s.
Here is the video https://www.youtube.com/watch?v=ZC3wRx4vV7g
This is the issue with internet docs ... not saying they should not be listened to, but they are not a substitute for personal care with a cardiologist.
Remember, every one of the folks on YouTube is making money by you viewing their products - many of them also have associated books, pay for view, etc.
Buyer beware.
Agreed. And every user is responsible for learning as much as they can and filtering out the chaff from the wheat. T'was always thus.
Dr. Dean Ornish video
That's if they are selling something.
They're all selling - products, books, video hits, or their own legacy (wanting to be seen as knowing more than others).
What they are not - is your doctor, with the responsibility to you of your doctor.