Heart disease is the leading cause of death for adults in America, yet enough information now exists to prevent it, says Joel Fuhrman.
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Joel Kahn judges heart disease reversal on three pillars: lab values and risk factors, symptoms, and imaging technology.
According to Joel Kahn, better lab values alone do not prove heart disease has reversed, though they create a more fertile setting for reversal.
In Joel Fuhrman's survey of 450 patients, systolic blood pressure dropped 26 points while medications were being withdrawn.
Joel Fuhrman contrasts his 26-point systolic drop with an 11-point drop on the low-sodium DASH diet, where people stayed on their medications.
According to Joel Kahn, a stent treats perhaps a one centimetre artery segment, while diet works throughout the whole body.
Even modest widening of arteries can greatly improve blood flow, which is why stress tests can improve, says Joel Kahn.
Joel Kahn advises a baseline CIMT carotid scan, then a repeat scan nine or 12 months into a programme to measure reversal.
According to Joel Kahn, hospital carotid ultrasound is not precise enough to track plaque reversal, so precision CIMT is needed.
Within eight weeks, a healthier endothelium and much better blood flow are possible, says Joel Kahn.
According to Joel Fuhrman, soft juvenile plaque is the most dangerous kind and the first to melt away with healthy eating and weight loss.
According to Joel Fuhrman, the amount of visceral fat in the body is proportional to the amount of dangerous, vulnerable plaque.
According to Joel Kahn, diet and fitness may not lower a coronary artery calcium score, but will shrink soft, juvenile plaque.
Joel Kahn does not tell patients to expect a lower calcium score and does not encourage repeating the scan.
According to Joel Kahn, some patients who tried chelation therapy showed much worse plaque on advanced imaging.
According to Joel Fuhrman, visceral fat is more saturated and raises cholesterol more than subcutaneous fat does.
Joel Fuhrman says the error doctors make is to simply medicate risk factors without helping people change diet and lifestyle.
In some people, 80 to 90% of arterial plaque is soft juvenile plaque that can go away, says Joel Kahn.
Joel Fuhrman reports patients after heart attacks whose low ejection fractions returned to normal within three to five years of diet change.
According to Joel Kahn, a randomized trial found a few hundred milligrams a day of CoQ10 seemed to improve lifespan in congestive heart failure.
According to Joel Kahn, a meta-analysis linked CoQ10 use to over a 30% reduction in bad heart events.
Joel Kahn cites seven or eight UCLA studies showing aged garlic can help shrink soft, juvenile plaque in arteries.
Aged garlic is made by letting garlic cloves sit up to two years to harden and concentrate, then pressing them into tablets.
Joel Fuhrman partially cooks garlic with the skin on for 15 minutes instead of 30, keeping some of its blood pressure benefit.
According to Joel Fuhrman, multiple long-term studies show a dose-dependent link between animal protein intake and cardiovascular death.
Joel Fuhrman calls keto and carnivore a deadly way to lose weight, because they raise the risk of premature death.
According to Joel Fuhrman, eating more intact plant foods rich in protein, especially nuts and seeds, is linked to longer life.
Joel Fuhrman names four intact plant protein foods: intact grains, beans and lentils, nuts and seeds, and green vegetables.
According to Joel Fuhrman, older people need more protein to keep muscle mass and prevent sarcopenia and osteoporosis.
Joel Fuhrman says adding about 400 calories of oil and sugar displaces about 30 grams of protein from a diet.