If Your Body Says THIS, Your Heart IS IN Trouble! DON'T Ignore

About this video

Cardiologist Dr. Michael Twyman tells Kane that a standard cholesterol panel alone, in his view, cannot predict who will have a heart attack. Twyman says clinicians should look at arteries first, using a CT coronary calcium score and carotid scans, then use blood work to explain why plaque formed. He discusses ApoB and lipoprotein(a), saying ApoB reflects the number of potentially plaque-forming particles and that he would aim for ApoB under 70 for most people. Kane shares her own ApoB around 102 and says it rose despite lower saturated fat and more cardio, which Twyman attributes largely to genetics. He also covers fasting insulin, uric acid, homocysteine and vascular inflammation markers.

Key takeaways

• Twyman claims half of heart attack patients have normal cholesterol labs, so arteries should be imaged directly
• Twyman calls the coronary calcium scan a mammogram for the heart, costing about $100 to $200 and taking under five minutes
• Twyman says a calcium score over 300 puts someone in a similar risk category to a prior heart attack patient
• Twyman claims lipoprotein(a) is genetically set, needs checking once, and can double plaque risk
• Twyman suggests a three to four month trial of diet or supplements, then retesting before considering medication

Episode details: published August 14, 2026 · 268.8K views · 16:59 long. Summary written by Self Growth Videos from the episode itself. The health and nutrition claims described are Lillie Kane’s or her guests’, presented for education — not medical advice. Kane is a certified nutrition health coach, not a physician. Consult a qualified professional before changing your own health practices.

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