Dr. Aseem Malhotra
๐ค SpeakerAppearances Over Time
Podcast Appearances
I can go and eat at McDonald's.
It's fine.
And they're getting more and more overweight, more insulin resistant.
They're increasing their cardiovascular risk.
They're not told the statin is going to give them a 1% benefit, i.e.
more likely than not, they're not going to benefit.
So you could imagine that concept that the overall net effect of
of the way that statins are prescribed and the dogma around them, in my view, has been negative and has actually been one of the main reasons why we have got this pandemic of chronic disease.
for the majority of people out there who are obese or have prediabetes or metabolic dysfunction which is basically in america 93 of americans that's what's driving probably most of the heart disease not 100 butter or saturated fat or ldl elevations well something else to throw into the picture right so you could make the argument okay dr mahotra you're saying there's no consistent relationship there may be a benefit why not just lower your ldl okay so 2016
And the reason we did this, me and a number of international scientists looked at, we decided a systematic review of observational data looking at people over 60.
Was there a relationship with LDL cholesterol and heart disease?
And the reason we did this, by the way, is another thing that was interesting from framing, which wasn't well publicized, is that when, after people hit 50 years old,
as their cholesterol dropped, their mortality increased.
So we thought, okay, is there something, you know, because for it to be a risk factor for heart disease, it should be consistent really across all age groups and both sexes, right?
For mortality.
For mortality, yeah.
But even for heart disease as well, right?
That's a good point.
So we looked at, was there first of all, any association if you're over 60 with LDL cholesterol and heart disease, right?
We found none.