SO proud of my friend @RealDoctorMike who dropped his cholesterol over 50 mg/dL in just *5 weeks* by following my favorite 3 high yield tips for eating a more plant predominant diet!

You can check out our discussion, and see his amazing results here! ⬇️

ImageImage
My favorite 3 high yield tips for lowering cholesterol via diet:

1. Drop your saturated fat intake. This can be through decreasing red meat, butter, high fat dairy, high saturated fat/sugary processed foods.
Swap with foods higher in polyunsaturated fat instead
2. Bump up your fiber intake! Fiber comes from plants - so focusing on fiber rich foods can help lower your cholesterol. And don’t forget some of our highest fiber foods are protein packed too (legumes!)
On average, I recommend increasing fiber intake by 5g per day- as I find most of my patients tolerate this really well without getting any GI upset. Start with adding more plants to your diet that you already love, and tolerate well. Then expand! 😊
3. Drop your dietary cholesterol intake. Although not as impactful on LDL lowering as dropping your SFA intake - it certainly still matters. And if you don’t believe me, read this paper 😊

pubmed.ncbi.nlm.nih.gov/31161217/
Also have to thank @RealDoctorMike for supporting evidence based nutrition, and sharing my plant forward eating tips with his 9 million YouTube subscribers 🙏 what a public health impact he’s making!

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More from @DBelardoMD

24 Dec
The lower the LDL the better? Yep. Endless data, RCTs, Mendelian randomization, have given us the key to prevent atherosclerosis in our patients.

“Cholesterol: the race to the bottom” by the one and only Eugene Braunwald

academic.oup.com/eurheartj/arti…
Some dietary tips to ⬇️ apoB/LDL-c
Read 8 tweets
1 Aug
Shared this case a few months ago & given the amount of vaccine misinformation out there - I think it’s worth re sharing.

38 y/o patient presented with fatigue, 7 weeks s/p COVID +. *Before vax was available
(Shared with patient permission)
This patient has no pmhx
He experienced a mild case of COVID 7 weeks prior, with some sniffles. Over the following 7 weeks he began to feel more fatigued. He experienced some shortness of breath.

12 lead EKG: P waves marked by red arrows. Sinus rhythm, 3:1 AV conduction, RBBB QRS.
Unclear if the conducted PR interval is short or long (navy arrow options) - likely the longer one. A PVC marked by asterisk conceals retrograde into conduction system & delays next conducted QRS. (H/t @narrowQRS)
Read 7 tweets
31 Jul
Did an exciting interview w/ some incredible people all about COVID vaccines, health misinformation, & we even discussed my passion for veganism (coming on 12 years soon!)❤️

Yes, you can be vegan & pro vaccine.

And… yes I’m not wearing scrubs for the first time in a minute😜
The unfortunate idea that vegans should be anti vaccine is sadly pervasive in the vegan community. Vaccines work, vaccines save lives. And the best activist for animals is one that’s alive and healthy, and cares about humans too.
"Veganism is a philosophy and way of living which seeks to exclude—as far as is possible & practicable—all forms of exploitation of, & cruelty to, animals for food, clothing or any other purpose”

In an imperfect world, being a perfect vegan is NOT possible.

Vaccines save lives.
Read 4 tweets
25 Jun
I woke up today to like 500 notifications that Dave Asprey had commented all over my Instagram posts to defend his multi million dollar empire of butter in coffee, selling supplements/detoxes, & his pseudoscience about how LDL doesn’t matter.

I have bro science PRESSED 😅
What’s so funny, is that all of these online “health gurus” are constantly trying to denigrate physicians and say we are all bought by pharma (false), and that our guidelines are BS. Meanwhile they make millions selling alternative therapies & partnering with snake oil companies
But in reality, all they are doing is profiting off of their misinformation - creating more distrust in physicians and evidence based medicine, and making money while they promote pseudoscience and antivax ideologies
Read 4 tweets
24 Jun
Another day, another “biohacker” telling people to put butter in their coffee & call it healthy. I love when @bulletproofexec shows up in my comment section on IG. I don’t get $$ from pharma, Asprey. I don’t want patients to put butter in their coffee bc I don’t want them to die.
And we don’t tell patients to drink soda either. Please, share with #medtwitter the “thousands of years of medical learning” as you call it, that demonstrates drinking butter is healthy? You’ve only made millions promoting this idea and other pseudoscience. I’ll wait.
For anyone who needs context: Dave Asprey @bulletproofexec
“How the CEO of Bulletproof Coffee turned buttered coffee into a multimillion-dollar empire”

But yet, us doctors recommending guideline based medicine, we are the shills @DrJenGunter

businessinsider.com/bulletproof-co…
Read 20 tweets
23 Jun
Being called a cardiology “guideline shill” at least 10X daily by keto Twitter makes me realize I must be doing something right 😂
PS I do really love our cardiology guidelines ❤️
For anyone who is interested in being a cardiology guideline shill too, you can start here! 🙃

acc.org/guidelines
Read 4 tweets

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