Category

Risks

One of the foundational lessons we can take away from studying centenarians — those who have lived to the age of 100+ — is that if you want to live longer, you have to live longer without chronic disease, not live longer with chronic disease. Unfortunately, our current healthcare system is primarily geared toward helping you live longer once you develop chronic disease. This, of course, is the opposite of the approach I take with my patients. 

Over 80% of deaths in people over 50 who do not smoke can be grouped into 4 main categories, what I like to call the four horsemen of chronic disease. These are: (1) atherosclerotic disease (comprised of cardiovascular disease and cerebrovascular disease), (2) cancer, (3) neurodegenerative disease (Alzheimer’s disease being the most common), and (4) metabolic disease (a spectrum of everything from hyperinsulinemia to insulin resistance to fatty liver disease to type 2 diabetes).

We have five main longevity tactics at our disposal to affect our longevity: (1) exercise, (2) sleep, (3) nutrition, (4) medications & supplements, and (5) distress tolerance. Below is a collection of podcasts and articles discussing how we can use these tactics to mitigate, prevent, and reverse chronic disease.

Is sugar toxic?

I remember one of my mentors in surgical residency made a very important distinction for me.  He said, “Peter, never…

Is a Mediterranean diet best for preventing heart disease?

This week an article titled Primary Prevention of Cardiovascular Disease with a Mediterranean Diet was featured in the New England…

Ketosis – advantaged or misunderstood state? (Part II)

When I wrote part I of this post, I naively assumed this would only be a two-part series. However, so many great…

Is a low fat diet best for weight loss?

I know many of you are awaiting Part II of the mini-series on ketosis, but I’d like to digress briefly…

How did we come to believe saturated fat and cholesterol are bad for us?

There aren’t too many topics that really get me riled up anymore.  I’m too old and too busy to care…

The straight dope on cholesterol – Part IX

In this post we’ll address the following concept: What should you eat to have the greatest chance of delaying the arrival of cardiovascular disease?

The straight dope on cholesterol – Part VIII

In this post we’ll double-click on a paper covering cholesterol and heart disease risk factors.

The straight dope on cholesterol – Part VII

In this post we’ll address the following concept: Does “HDL” matter after all?

The straight dope on cholesterol – Part VI

In this post we’ll address the following concept: Why is it necessary to measure LDL-P, instead of just LDL-C?

The straight dope on cholesterol – Part V

In this post we’ll address the following concept: Does the size of an LDL particle matter?

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