Dr. Aseem Malhotra

And that's kind of why there's less deaths.

100%.

Well, so the next question is people think, oh, it must be statins as well.

Well, a paper in the BMJ a few years ago looked at millions more people taking statins in Europe over a 10-year period to see was there any reduction in cardiovascular mortality in Europe because millions more people were taking statins.

They found there was none, none, zero, no change.

But

you can actually explain that mark because one way of looking at the statistics looking at industry sponsored trials which we've already alluded to should be taken with a grain of salt because they are best case scenario they're curated information or a tab of butter maybe well yeah actually absolutely butter would be better we remind me to come back about a butter story and me being hauled into a medical director's office to talk about butter by the way um when i busted the myth of saturated fat and heart disease you know when you look at the data

from industry-sponsored trials, and you look at the statistics that looks at the average or median increase in life expectancy over five years, right, in the highest risk groups where there is a greater benefit, the median increase in life expectancy over a five-year period in the person that's had a heart attack, right, and say in their 50s,

Just over four days now.

Yeah.

If you look at the median increase in life expectancy in that group, another way that we use in medicine when we talk about informed consent, or I call it ethical, very controversial topic, ethical evidence-based medical practice, Mark, which means true informed consent, which means telling patients the numbers needed to treat are their absolute individual benefit.

And you look at the totality of evidence, I know there are lots of studies we can talk about, but

For me, it's about what does the totality of evidence tell us, right?

And there's a great website, which is independently evaluated by doctors, and it goes through peer review in one of the family physician journals in the US called the NNT.com, numbers needed to treat.

People can look it up, it's great.

Or you take paracetamol for a headache, it's like one in two.

So it's like two.

Two people, one will get the headache completely resolved with paracetamol.

But with a statin, you have to treat

Yeah, so it's actually, so I know this stuff inside out.