This diet WILL lower your risk of heart disease -Dr. Bret Scher

About this video

Kane interviews cardiologist Dr. Bret Scher about lowering heart disease risk. Scher says the best starting point is optimising metabolic health, and if forced to pick one action he chooses resistance training to build muscle, plus whole, unprocessed foods. He argues the evidence linking dietary fat to heart disease is weak observational data confounded by smoking, calories and overall lifestyle, and distinguishes processed high-fat, high-carb eating from whole-food low-carb eating. On markers, he favours waist-to-height ratio around 0.5 or below, fasting insulin ideally below 8, and a triglyceride-to-HDL ratio below about 1.5. He insists LDL still matters but must be interpreted individually, pointing to calcium scores and CT angiograms to refine risk before medication. He estimates most adults would benefit from starting ketogenic, then transitioning toward metabolic flexibility, and names nutrition, exercise, sleep and stress management as the big rocks.

Key takeaways

  • The featured cardiologist says to start with resistance training and whole foods to improve metabolic health
  • Scher argues the fat-causes-heart-disease evidence is weak, confounded observational data
  • Scher suggests waist-to-height ratio near 0.5, fasting insulin below 8 and triglyceride/HDL below 1.5 as targets
  • Scher says LDL should neither be ignored nor treated by a blanket cutoff; he favours calcium scoring to individualise risk
  • Scher claims roughly 70% of adults in industrialised countries would benefit from starting a ketogenic diet
  • Scher names nutrition, exercise, sleep and stress management as the four big rocks, for the brain as well as the heart

Episode details: published January 10, 2024 · 56.8K views · 36:53 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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