Dr. Aseem Malhotra
๐ค SpeakerAppearances Over Time
Podcast Appearances
So if you're triglycerides, urination, we're good. Even people who've had a heart attack, there was no benefit from the statin at all, which fits with what you just said.
You do. And of course, we haven't even talked about side effects, and that's another issue, right? So if you look at, to try and explain why there's no reduction in cardiovascular mortality, even if we accept the four-day increase over five years in high-risk patients. One of my explanations is this.
You do. And of course, we haven't even talked about side effects, and that's another issue, right? So if you look at, to try and explain why there's no reduction in cardiovascular mortality, even if we accept the four-day increase over five years in high-risk patients. One of my explanations is this.
You do. And of course, we haven't even talked about side effects, and that's another issue, right? So if you look at, to try and explain why there's no reduction in cardiovascular mortality, even if we accept the four-day increase over five years in high-risk patients. One of my explanations is this.
In the real world, at least 50% of patients prescribed statins, even in high-risk groups, will stop taking it within a couple of years. And when you do surveys, most of them say they felt they got side effects. Muscle fatigue, muscle pain, brain fog, erectile dysfunction, and how prevalent... That's a big one. Well, how prevalent is that?
In the real world, at least 50% of patients prescribed statins, even in high-risk groups, will stop taking it within a couple of years. And when you do surveys, most of them say they felt they got side effects. Muscle fatigue, muscle pain, brain fog, erectile dysfunction, and how prevalent... That's a big one. Well, how prevalent is that?
In the real world, at least 50% of patients prescribed statins, even in high-risk groups, will stop taking it within a couple of years. And when you do surveys, most of them say they felt they got side effects. Muscle fatigue, muscle pain, brain fog, erectile dysfunction, and how prevalent... That's a big one. Well, how prevalent is that?
And you look at the data and it's mixed, but anything from, in my experience, anything from 20 to 50% of patients, at some point, I've had patients who took statins for 20 years and didn't get side effects for 20 years, and then they got side effects and it gets better when you stop the statin. So they're very prevalent.
And you look at the data and it's mixed, but anything from, in my experience, anything from 20 to 50% of patients, at some point, I've had patients who took statins for 20 years and didn't get side effects for 20 years, and then they got side effects and it gets better when you stop the statin. So they're very prevalent.
And you look at the data and it's mixed, but anything from, in my experience, anything from 20 to 50% of patients, at some point, I've had patients who took statins for 20 years and didn't get side effects for 20 years, and then they got side effects and it gets better when you stop the statin. So they're very prevalent.
I wouldn't say they were serious or life-threatening, but the question I ask the patient always is, Does this interfere with your quality of life, right? And it's very simple. You know that as a person. It's a very subjective answer, yes or no. If it does, we need to do something about it. Because listen, we're all going to die at some point.
I wouldn't say they were serious or life-threatening, but the question I ask the patient always is, Does this interfere with your quality of life, right? And it's very simple. You know that as a person. It's a very subjective answer, yes or no. If it does, we need to do something about it. Because listen, we're all going to die at some point.
I wouldn't say they were serious or life-threatening, but the question I ask the patient always is, Does this interfere with your quality of life, right? And it's very simple. You know that as a person. It's a very subjective answer, yes or no. If it does, we need to do something about it. Because listen, we're all going to die at some point.
What we want to live our lives in the best health we can for as long as possible, right? In many ways, that's probably more important than our longevity, right? It's having good quality of life. So that is something that I address with patients as well. So you're going to sort of...
What we want to live our lives in the best health we can for as long as possible, right? In many ways, that's probably more important than our longevity, right? It's having good quality of life. So that is something that I address with patients as well. So you're going to sort of...
What we want to live our lives in the best health we can for as long as possible, right? In many ways, that's probably more important than our longevity, right? It's having good quality of life. So that is something that I address with patients as well. So you're going to sort of...
I think the arguments to be made on interpretations of the evidence, trust in the evidence, and different bits of evidence. So all I can say, Mark, for me is that we all have our biases. And you could argue that I have a bias because I have an obsession with lifestyle and I'm a foodie and I started cooking when I was 16. I was taught by my dad.
I think the arguments to be made on interpretations of the evidence, trust in the evidence, and different bits of evidence. So all I can say, Mark, for me is that we all have our biases. And you could argue that I have a bias because I have an obsession with lifestyle and I'm a foodie and I started cooking when I was 16. I was taught by my dad.
I think the arguments to be made on interpretations of the evidence, trust in the evidence, and different bits of evidence. So all I can say, Mark, for me is that we all have our biases. And you could argue that I have a bias because I have an obsession with lifestyle and I'm a foodie and I started cooking when I was 16. I was taught by my dad.
And, you know, one of the reasons I got annoyed or pissed off in the hospital and got into this whole, my campaigning started about hospital and, you know, why are we giving junk food to patients? Because I also, as a doctor, was like frustrated. I can't get any healthy food anywhere. That could be my bias. Fine. But, and I accept that.