1. Fascinating. So I wonder, as a lean man of 155-160 pounds, a gain of simply ten pounds had a substantial impact on your Arterial health, one shudders to wonder about the typical American man at 198 pounds and 5 ft 9, based on the CDC's latest stats for mean age adjusted data (BMI of almost 29.1 now avg) – if he is carrying 40 pounds above the healthy middle of BMI spectrum (say, BMI 22-ish), perhaps his arteries are a couple or more decades older than his chronological age? Taking the average heights and weights of insured businessmen from the 1896-1914 Medico-Actuarial mortality investigations, guys back then were averaging a mean height of about 5 ft 8, and 157 pounds fully clothed in their mid life (around age 35-40s), approx. a BMI of 23.5 to 24. Imagine, men have gained 5 BMI points, or approx. 35 pounds, if we adjust for stature increase, in a century of America.

  2. Plaque is LDL that became oxidized because it was present in the arteries for too long, because HDL could not remove it since there was too much other LDL to be removed???

  3. I wish we could standardize CIMT measurements. My reports look nothing like yours. My reports are far less comprehensive than yours. I get an "age" and a really basic description, but overall it's not terribly useful.

  4. Dr. Brewer, would you consider a video on CT Angiography?

    I had a carotid CIMT scan done and a calcium score of 50, and thought I was in excellent shape.

    But I went ahead and spent $400.00 on a CT Angiography scan and it found 50% blockage of my LAD, and a new calcium score of 598 which came as a real shock since my Carorid/Brachial artery CIMT came back so good.

    I consider it the best $400.00 I have spent to really know how the heart is doing from a stenosis, flow (LVEF), and heart chamber perspective.

    I have the images and radiologist report if you want a copy for a future video.

  5. I fixed my blood sugar by fasting for 16 hours and eating 8….the best way because its the easiest…you just dont eat..dont eat till i get home so got rid of eating on the go…also lost 20 lb in 1 month…i recommend it

  6. Thank you, Dr.Brewer for another excellent video. My goal this summer is to drop 10-15 lbs but when I do I may need to jump around the shower to get wet. What range of fasting blood sugar do you have your patients shoot for?

  7. I just wonder if an eating protocol that focused on blood sugar rather than weight might be more helpful. So if you do put on weight, but BS/Insulin inflammation events are kept to a minimum there is less opportunity for plaque to be laid down? So if weight is put on it is less of an issue than if it were caused by carb consumption. Of course there is the issue of inflammation via lectin and gluten from plant foods that increases gut permeability and triggers immune response to the lectins/gluten, that also can mistake normal cells as well (I have extenseive idiopathic calcification to the pancreas and this may have been the cause). Many good reasons to go Keto or low carb with leafy greens – to keep plaque and inflammation under control… just my thinking on the matter. It is what I do. I think my last slice of bread was March 2018. I think in the last 6 months my highest blood sugar reading after a meal was around 6.4

  8. Thank you for sharing your personal CIMT results. I am scheduled for my first CIMT this Tuesday. You said you thought BMI (or relative fat index) and CIMT were apparently related (in your case) and noted how your CIMT varied most recently with a 10 pound weight gain. However, I am wondering, did your inflammation markers change during this time? If the inflammation worsened, it would make sense but if it didn't, then doesn't that imply a different mechanism for plaque deposition? Thank you very much.

  9. The BMI always confuses me… how can the formula not contain specific body measurements ie waist/chest size? For example if 2 people have the exact height and weight but one has a 32” waist while another has a 52” waist and they have the same BMI and health determinations are made? Something is seriously wrong with that formula and I think it’s junk science.

  10. I just had a CIMT by Cardiorisk based on your suggestion. Results have not been interpreted yet by Cardiorisk. When questioned by the person doing the scan I was told that most likely my results will be consided fairly good because my arteries were thin and there was very minimal plaque. I was asked if I took statins. I don't. Nevertheless, this surprised me because I fall into the borderline between morbidly obese and super obese for about 10 years and am pushing 60 and have a HA1c about 5.5 and insulin done during glucose challenge after 2 hours of 30. My stress levels are extremely high too. I am being treated for mild sleep apnea, blood pressure has risen to 80/120, moderately elevated lipids.. I have been on a course of improved diet and exercise for a few months. Could that have helped in so little time? Also, what other heart problems can be associated with such high levels of obesity? Heart failure? Valve problems? Quick onset of diabetes? I am a caretaker and don't want to have to pass on the baton too early to other family members.

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