Sugar, Statins and Heart Health

Sugar, Statins and Heart Health



it turns out that all the separate diseases we see may be linked by this one common necklace in some resistance more than 100 million Americans suffer from insulin resistance which is not only a precursor to developing type 2 diabetes but can lead to many other health challenges including heart disease hi I'm Kate pirouette one of the producers of the doctors pharmacy in this mini episode dr. Hyman sits down with dr. ASIMO hora a pioneer of the lifestyle medicine movement in the UK together they talk about the effectiveness of statin drugs on heart disease dr. Malhotra discusses why he believes that reducing insulin resistance may be the key to better heart health let's dig in here to whenever you know a lot about which happens to be the most prescribed drug probably on the planet which are status um psychiatric drugs as a whole are up there and acid blocking drugs are up there but statins are up there and they've been prescribed not just prevent a heart attack if you've already had one but for preventing people who never had heart attacks from getting one and you you challenge this as as a sort of flawed idea and you kind of talked about cardiologists how you came to this heresy and why we should believe you okay let's talk about statins do I think statins work I think probably yes but in such a small number that actually in the real world the benefit really it's it's failed to reduce heart disease I mean with reason we still have an epidemic of heart disease it's still the number one killer mark you know there was a prediction by people pushing the cholesterol hypothesis and when statins came on the market that we would end heart disease the epidemic by the 21st century and we haven't and the global you know campaign has failed one because the drugs are not as effective as we thought there were two because side effects are real and underreported but in the real world people stop taking their drug and three the cholesterol hypothesis self is flawed because it's not the most important risk factor for heart disease which is insulin resistance now as someone that's treated you know thousands of people with heart disease done over a thousand angiograms and treated people with heart attacks and has been on the water and after people coming with heart attacks and the wards we prescribe statins like Smarties we put everyone on a high dose we rarely even check cholesterol because the guidance was saying doesn't matter what the cholesterol is get them on a high-dose statin yeah I would the guy MA that in the ER in A&E we say in England in the UK in the u.s. NSA er I won't be the guy when the chats been diagnosed with the hardest time before we take him to the cath lab he understand I'm telling the nurse give him 80 milligrams of tor Stan because I genuinely believe that the effects were media and it was anti-inflammatory interestingly when you look at the data actually there is no acute benefit from statins at Wharf of event reduction for several months no benefit in death rates event reduction so if your patient gets side effect within a few weeks of taking a statin stopping a statin certainly is not going to increase the risk of death or a Honiton at all now when you look at the real world evidence mark in community studies about statin prescriptions and patients taking statins there in the United States to statin usage survey which is over 10,000 people are surveyed I was flabbergasted myself when I saw the statistic 75% of people prescribed a statin in the community will stop it within a year prescription when asked why 62% of those said it was because of side effects and many of those tried different statins that had the same problem the side effect most commonly reported is fatigue and muscle pain and you know this you're talking about these side effects but the way they work is inhibiting an enzyme which in the hnaa reductase which also produces something called Co Q 10 or coins I'm Q 10 which is an essential part of making energy in your muscle cells in all cells so when that gets blocked not as a side effect but as an effect that leads to a reduction energy production so it's like you just ran a mile or ten miles as fast you can and you get muscle pain and that's what happens these people and it also affects the brain it also affects sexual hormones because your LDL and your cholesterol is what you make estas to another hormone so another way of looking at the statistics from the trials on statins in people with heart disease is if you take a statin every day for five years what's your median which is a crude way of saying average not exactly the same but what's your median increase in life expectancy for taking a statin if you've had a heart attack every day for five years four point two days 4.2 days and that's if you average it all those days are typically with muscle pain actually probably people who have tolerate the developer but what it tells me is if you think about that and you also realize more than 50% of people over the age of 65 we take a statin with heart disease mark will stop the statin within 2 years this is people without heart attacks again because a muscle symptoms you can re understand why there is no reduction in the population because actually many people stop taking a statin the benefits are marginal anyway one of the websites I always actually tell my patients to go to which is gray it's an independent web website called bien NT com yeah I wrote about that in my book Yeah right it's fantastic and when you look at the totality of the data on the n NT common all the statin trials for people with heart disease so we'll come back to healthy people first but people with heart disease your mortality benefit is one in eighty three as in it will there's a one in eighty three chance it will delay your death listen we're all gonna die I mean people will take statins you know and no impact on their mortality and about one in thirty-nine to prevent a non-paid a recurrent non-fatal heart attack that's if you've already had a heart attack yeah then you have to treat 39 people before you prevent another Hannam artists and only three before you prevent one death and I published an editorial with Rita red Berg who's here also for the conference and Pascal Meyer both editors of medical journals both practicing cardiologists we said that is the paradigm shift needs to happen where we need to concentrate on really reducing insulin resistance which is you know really the number one risk factor for dis accent in young men and and actually that would actually tackle a many other chronic diseases because it's a precursor for type 2 it's responsible for 50 to 70 percent of people with high blood pressure so you just mentioned something and I think in sort of the flipside of the story which is in some resistance and that is a mechanism in the body that happens where your body becomes a numb to the effects of insulin eat too much sugar and starch and it turns out that all the separate diseases we see may be linked by this one common mechanism heart disease many cancers type 2 diabetes obviously obesity even things like dementia which are now called type 3 diabetes these are the major killers they're all driven by the same mechanism now you know if that's true you know you know we are living in a society where we're all at risk because sugar is everywhere I described it in an article I wrote in The Observer newspaper that you know it's public enemy number one in the Western diet because it's become so prevalent because it's been added to so many processed foods in the states decimated 50 percent of foods that people don't think of junk foods have added sugar in them and our estimates suggest you know in the States and in the UK people are on average or eating anything between 20 and 25 teaspoons of added sugar in their diet a which is extraordinary now there's about 35 yeah and you know and the recommendations from the World Health Organization now we were put under pressure say maximum limit of 6 but they say limit they don't say you should have it because actually for optimal health that's the upper limit you don't need any added sugar you die I mean there's no nutrition in it there's nothing the ultra-processed food consumption in the average British diet mark 50% of the diet half of the die is coming from ultra processed food now yeah if you break that it's almost 60 percent really Wow I mean but if you break down the ultra processed food where is it coming from more than 70 percent is coming from starch sugar sugary drinks ultra processed fruit and vegetables most of it is starch and sugar yeah it's not coming from saturated fat or fat or meat or dairy there are processed Darrien meals once all the cut the fat and cut the meat listen health crisis we have is actually the big macronutrient the big problem we're over consuming which is the key component of ultra processed food is starch and sugar and this is what we need to get down and that should be the public health message sugar is the core ingredient used by the food industry to make bad ingredients taste good you can find sugar lurking in foods that might not taste that sweet like dressings and condiments and also in foods that are positioned as healthy like bottled smoothies and we are programmed to genetically crave sugar and refined carbs have you ever wondered why you could devour a box of cookies but you wouldn't binge on broccoli the reason isn't because you lack self-discipline or a weak-willed some of us are biologically addicted to sugar and willpower alone doesn't work here this is why it's so important to eat real food eating real nutrient-dense whole food is the key to overcoming cravings for processed carbs and refined sugars be sure to include healthy fats and quality protein on each of your meals as well as whole food carbohydrates like veggies legumes nuts and seeds dr. Hyman also recommends limiting or eliminating refined sugars sodas fruit juices and artificial sweeteners from your diet as these all fuel sugar addiction if you feel confused ask yourself one question is this man-made or nature made nature made an avocado but not a Twinkie eating healthy is often that simple I hope you enjoyed this mini episode of the doctors pharmacy thanks for tuning in you

18 comments

  1. The reality is we live in a world today where people can not eliminate carbohydrates completely. Eating more meat is not sustainable for our planet, but eliminating meat means low protein and more starch and carbs.

  2. Using your Choleslo along with total vegan, oil free, low to no sodium diet.. and exercise/ walking.. Fingers crossed.❤ BP has already dropped tremendously!! I was on generic for Crestor 5mg.. Lasted 2 weeks.. Thought I was dying.. Multiple horrible side effects.. I stopped. Must be a better way. 100% compliant..

  3. thanks for adding closed captions. One thing, YouTube is not recognizing your captions. Therefore they are not being enlarged as MY YouTube settings direct auto captions to do. So, they remain small, and I can't read them because the autocaptions covef them up. ☺

  4. In addition to removing the sugar, eliminate foods fried in vegetable oil and add fasting and you will solve all of these problems.

  5. Great info! I just wish there was a way to get doctors to listen to this newer info concerning cholesterol vs insulin resistance & cardiac health. Most doctors are still using archaic guidelines for optimal health.

  6. Thank you Dr. Hyman. I appreciate you interjecting in here and summing things up for us. Your voice is so soothing to listen to. Good info.

  7. My aunt was prescribed statins for YEARS and it led to severe neurological damage. She finally chose euthanasia as a way out because she was unable to walk for the last five years of her life.

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