Dr. Peter Attia

But if it was 100 and then five years, and we started treating the heck out of you, and five years later it was 130, that would, in my mind, not constitute progression because of how crude the test is.

Now, if they use a more granular version of that test called a CT angiogram, it's a more high-resolution CT scanner where they use intravenous contrast. Now you get to look more at the coronary arteries, and there you can get more subtle descriptions of what's going on.

Now, if they use a more granular version of that test called a CT angiogram, it's a more high-resolution CT scanner where they use intravenous contrast. Now you get to look more at the coronary arteries, and there you can get more subtle descriptions of what's going on.

Now, if they use a more granular version of that test called a CT angiogram, it's a more high-resolution CT scanner where they use intravenous contrast. Now you get to look more at the coronary arteries, and there you can get more subtle descriptions of what's going on.

But the truth of the matter is when you're treating the causal risk factors, we don't tend to fixate on the imaging as much as we fixate on function and the reduction of risk markers. So if you showed up at 42 with a calcium score of 100, there's no doubt in my mind that at least one of those four factors is out of whack. We're going to fix it. We're just going to fix it. Non-negotiable.

But the truth of the matter is when you're treating the causal risk factors, we don't tend to fixate on the imaging as much as we fixate on function and the reduction of risk markers. So if you showed up at 42 with a calcium score of 100, there's no doubt in my mind that at least one of those four factors is out of whack. We're going to fix it. We're just going to fix it. Non-negotiable.

But the truth of the matter is when you're treating the causal risk factors, we don't tend to fixate on the imaging as much as we fixate on function and the reduction of risk markers. So if you showed up at 42 with a calcium score of 100, there's no doubt in my mind that at least one of those four factors is out of whack. We're going to fix it. We're just going to fix it. Non-negotiable.

And in five years, even if your calcium score has gone up a little bit, we are still very confident we've halted the progression of the disease.

And in five years, even if your calcium score has gone up a little bit, we are still very confident we've halted the progression of the disease.

And in five years, even if your calcium score has gone up a little bit, we are still very confident we've halted the progression of the disease.

Yeah, again, we can talk about what is absolutely known. What is unambiguous is smoking, obesity, diabetes are driving the majority of what we see as preventable risk.

Yeah, again, we can talk about what is absolutely known. What is unambiguous is smoking, obesity, diabetes are driving the majority of what we see as preventable risk.

Yeah, again, we can talk about what is absolutely known. What is unambiguous is smoking, obesity, diabetes are driving the majority of what we see as preventable risk.

So that's the only thing that I would say we know with a very high degree of certainty.

So that's the only thing that I would say we know with a very high degree of certainty.

So that's the only thing that I would say we know with a very high degree of certainty.

Cigarettes. Cigars? Mostly cigarettes. Okay. Yeah. Now, cigars, even if you're not inhaling, you're still increasing your risk of oral cancers and things of that nature. But yeah, when we talk about a person who smokes a cigarette that they're inhaling, that's increasing the risk of many forms of cancer, not just lung cancer. Although it's increasing your risk of lung cancer geometrically.

Cigarettes. Cigars? Mostly cigarettes. Okay. Yeah. Now, cigars, even if you're not inhaling, you're still increasing your risk of oral cancers and things of that nature. But yeah, when we talk about a person who smokes a cigarette that they're inhaling, that's increasing the risk of many forms of cancer, not just lung cancer. Although it's increasing your risk of lung cancer geometrically.

Cigarettes. Cigars? Mostly cigarettes. Okay. Yeah. Now, cigars, even if you're not inhaling, you're still increasing your risk of oral cancers and things of that nature. But yeah, when we talk about a person who smokes a cigarette that they're inhaling, that's increasing the risk of many forms of cancer, not just lung cancer. Although it's increasing your risk of lung cancer geometrically.

So if you're overweight or obese, if you have type 2 diabetes, if you smoke, any combination of those things is... increasing your risk of multiple forms of cancer. They're not all the same, by the way. So the cancers that are predisposed or the ones that risk is going up dramatically for type 2 diabetes and obesity overlap with some of the lung cancer, but there's some different ones as well.