Menu
Sign In Search Podcasts Charts People & Topics Add Podcast API Pricing

David Feldman

👤 Person
702 total appearances

Appearances Over Time

Podcast Appearances

Dhru Purohit Show
Is Current Thinking Around Cholesterol Outdated? What You Need to Know About Heart Health and The Root Cause of Plaque Build Up with David Feldman

And my doctor says this is like one of the highest cholesterols I've seen. And I almost never see somebody change to this level of cholesterol because usually it's genetic. That's where the tie-in with my dad and my sister are relevant. They go on the same diet about the same time. They don't see this jump in cholesterol. And that's what got this whole obsession going for me.

Dhru Purohit Show
Is Current Thinking Around Cholesterol Outdated? What You Need to Know About Heart Health and The Root Cause of Plaque Build Up with David Feldman

Without question, the conventional view right now across really every single organization around heart disease is that high cholesterol is high risk. End of discussion. The higher your cholesterol, the more at risk you are. And you'll often hear phrases like the lower, the longer, the better. Because

Dhru Purohit Show
Is Current Thinking Around Cholesterol Outdated? What You Need to Know About Heart Health and The Root Cause of Plaque Build Up with David Feldman

Without question, the conventional view right now across really every single organization around heart disease is that high cholesterol is high risk. End of discussion. The higher your cholesterol, the more at risk you are. And you'll often hear phrases like the lower, the longer, the better. Because

Dhru Purohit Show
Is Current Thinking Around Cholesterol Outdated? What You Need to Know About Heart Health and The Root Cause of Plaque Build Up with David Feldman

Without question, the conventional view right now across really every single organization around heart disease is that high cholesterol is high risk. End of discussion. The higher your cholesterol, the more at risk you are. And you'll often hear phrases like the lower, the longer, the better. Because

Dhru Purohit Show
Is Current Thinking Around Cholesterol Outdated? What You Need to Know About Heart Health and The Root Cause of Plaque Build Up with David Feldman

Generally speaking, no matter what, just like a smoker, if you smoke three packs a day, sure, there's the once in a while example of somebody who managed to escape getting heart disease or lung cancer. But as a population, everybody who's smoking three packs a day is at risk, even if they're otherwise healthy in every other respect.

Dhru Purohit Show
Is Current Thinking Around Cholesterol Outdated? What You Need to Know About Heart Health and The Root Cause of Plaque Build Up with David Feldman

Generally speaking, no matter what, just like a smoker, if you smoke three packs a day, sure, there's the once in a while example of somebody who managed to escape getting heart disease or lung cancer. But as a population, everybody who's smoking three packs a day is at risk, even if they're otherwise healthy in every other respect.

Dhru Purohit Show
Is Current Thinking Around Cholesterol Outdated? What You Need to Know About Heart Health and The Root Cause of Plaque Build Up with David Feldman

Generally speaking, no matter what, just like a smoker, if you smoke three packs a day, sure, there's the once in a while example of somebody who managed to escape getting heart disease or lung cancer. But as a population, everybody who's smoking three packs a day is at risk, even if they're otherwise healthy in every other respect.

Dhru Purohit Show
Is Current Thinking Around Cholesterol Outdated? What You Need to Know About Heart Health and The Root Cause of Plaque Build Up with David Feldman

And so these organizations you're talking about, this landscape, the guidelines are quite clear that if you've got high LDL, you've got to take steps to change it. That's where these ranges come from, like having the total cholesterol under 200 and LDL under 100. And they'll say that it's better for it to be even lower.

Dhru Purohit Show
Is Current Thinking Around Cholesterol Outdated? What You Need to Know About Heart Health and The Root Cause of Plaque Build Up with David Feldman

And so these organizations you're talking about, this landscape, the guidelines are quite clear that if you've got high LDL, you've got to take steps to change it. That's where these ranges come from, like having the total cholesterol under 200 and LDL under 100. And they'll say that it's better for it to be even lower.

Dhru Purohit Show
Is Current Thinking Around Cholesterol Outdated? What You Need to Know About Heart Health and The Root Cause of Plaque Build Up with David Feldman

And so these organizations you're talking about, this landscape, the guidelines are quite clear that if you've got high LDL, you've got to take steps to change it. That's where these ranges come from, like having the total cholesterol under 200 and LDL under 100. And they'll say that it's better for it to be even lower.

Dhru Purohit Show
Is Current Thinking Around Cholesterol Outdated? What You Need to Know About Heart Health and The Root Cause of Plaque Build Up with David Feldman

And that guides a lot of the food choices because I'm sure you hear saturated fat can potentially be bad. Why? Because it can be associated with increased LDL cholesterol and therefore you should eat less saturated fat and hopefully get lower LDL cholesterol. That's the intent.

Dhru Purohit Show
Is Current Thinking Around Cholesterol Outdated? What You Need to Know About Heart Health and The Root Cause of Plaque Build Up with David Feldman

And that guides a lot of the food choices because I'm sure you hear saturated fat can potentially be bad. Why? Because it can be associated with increased LDL cholesterol and therefore you should eat less saturated fat and hopefully get lower LDL cholesterol. That's the intent.

Dhru Purohit Show
Is Current Thinking Around Cholesterol Outdated? What You Need to Know About Heart Health and The Root Cause of Plaque Build Up with David Feldman

And that guides a lot of the food choices because I'm sure you hear saturated fat can potentially be bad. Why? Because it can be associated with increased LDL cholesterol and therefore you should eat less saturated fat and hopefully get lower LDL cholesterol. That's the intent.

Dhru Purohit Show
Is Current Thinking Around Cholesterol Outdated? What You Need to Know About Heart Health and The Root Cause of Plaque Build Up with David Feldman

At the time that I was coming into low carb, and this is 2015, 2016, a lot of what was being discussed was the particles themselves getting a more advanced test than lipid panel I just mentioned, such as an NMR, nuclear magnetic resonance test. And that led to the discussion of the big fluffy versus small dense particles. This comes back to the work of a scientist called Ronald Krauss.

Dhru Purohit Show
Is Current Thinking Around Cholesterol Outdated? What You Need to Know About Heart Health and The Root Cause of Plaque Build Up with David Feldman

At the time that I was coming into low carb, and this is 2015, 2016, a lot of what was being discussed was the particles themselves getting a more advanced test than lipid panel I just mentioned, such as an NMR, nuclear magnetic resonance test. And that led to the discussion of the big fluffy versus small dense particles. This comes back to the work of a scientist called Ronald Krauss.

Dhru Purohit Show
Is Current Thinking Around Cholesterol Outdated? What You Need to Know About Heart Health and The Root Cause of Plaque Build Up with David Feldman

At the time that I was coming into low carb, and this is 2015, 2016, a lot of what was being discussed was the particles themselves getting a more advanced test than lipid panel I just mentioned, such as an NMR, nuclear magnetic resonance test. And that led to the discussion of the big fluffy versus small dense particles. This comes back to the work of a scientist called Ronald Krauss.

Dhru Purohit Show
Is Current Thinking Around Cholesterol Outdated? What You Need to Know About Heart Health and The Root Cause of Plaque Build Up with David Feldman

And if you've got a lot of these LDL particles, but they're big, they're larger in their size, generally they're considered more buoyant and fluffy, and they're considered less atherogenic. People who have this pattern for which there's higher and higher levels of the big fluffy have what's known as pattern A. But pattern B is where you have more and more of the other kind, which is small dense.

Dhru Purohit Show
Is Current Thinking Around Cholesterol Outdated? What You Need to Know About Heart Health and The Root Cause of Plaque Build Up with David Feldman

And if you've got a lot of these LDL particles, but they're big, they're larger in their size, generally they're considered more buoyant and fluffy, and they're considered less atherogenic. People who have this pattern for which there's higher and higher levels of the big fluffy have what's known as pattern A. But pattern B is where you have more and more of the other kind, which is small dense.

Dhru Purohit Show
Is Current Thinking Around Cholesterol Outdated? What You Need to Know About Heart Health and The Root Cause of Plaque Build Up with David Feldman

And if you've got a lot of these LDL particles, but they're big, they're larger in their size, generally they're considered more buoyant and fluffy, and they're considered less atherogenic. People who have this pattern for which there's higher and higher levels of the big fluffy have what's known as pattern A. But pattern B is where you have more and more of the other kind, which is small dense.

Dhru Purohit Show
Is Current Thinking Around Cholesterol Outdated? What You Need to Know About Heart Health and The Root Cause of Plaque Build Up with David Feldman

And therefore, a lot of people who are low-carb who even had high LDL cholesterol were saying, well, but I have pattern A, so I don't think I'm that much at risk. But even then, there was still a lot of debate. There, yes, were a number of people were saying, I just don't even care that much as long as I'm pattern A. I don't care how high my cholesterol goes.