Although the video is freely available on YouTube,
mirroring it here makes it available to site searches,
and provides a means for IC members to discuss it.
Millions of people have undergone
CT heart scans that provide a heart scan or coronary
calcium score. Unfortunately, people are then advised by
doctors to take a statin drug, aspirin, a beta blocker
or other combination of drugs that do NOT stop the
25-30% year-over-year rise in score. This eventually
leads to heart attack or needing heart procedures like
bypass surgery, angioplasty, or stent implantation,
Doctors say that there is nothing
you can do to stop this rise in heart scan score. What
they are really saying is that there are no DRUGS or
PROCEDURES that they can provide beyond the useless ones
they prescribed. They did NOT tell you that there are a
number of crucial non-drug and non-procedural ways to
reduce your heart scan score and reduce, even
That is one of the many things we
do in the Undoctored approach.
We draw from the health
information of the world, collaborate, share experiences,
collect data, and show how to apply new health tools to
achieve levels of health that you may have thought
unattainable. We do all this at a time when
conventional healthcare costs have become crippling.
The result: personal health that
is SUPERIOR to that obtained through conventional means.
Let’s talk about how
to reduce your heart scan score. First of all, is
that even possible? Yes, it is very possible.
I’ve done it many times. I’ve helped
people reduce their heart scan scores, for instance,
from a high score of like 900 down to 300 or 400.
It’s not that difficult.
The conventional answer is
that you cannot do that, and the reason why a lot
of my colleagues say that, is because what they’re saying is:
there’s no drug that does that;
there’s no procedure that does that.
What they don’t recognize is that there are
non-drug, non-procedural tools that you can draw from,
that you can get on your own, and reduce your heart
scan score, in the majority of people.
What is a heart scan score?
That’s a coronary calcium score. It’s a scan
of your heart obtained by a very rapid CAT scan
device. It quantifies, it measures, how much calcium
you have in your arteries. Calcium occupies about
20% of plaque volume, of atherosclerotic plaque
volume. So if you have 20 cubic millimeters of
calcium, you have about 100 mm³ of total plaque
volume. What it doesn’t tell you is percent
blockage. People often ask “what percent blockage
do I have?” Well the heart scan doesn’t
give that kind of information. And remember these are
mostly people who have no symptoms of heart disease,
and thereby typically do not have blockages, that is
blockages that impede coronary blood flow.
So it’s like quantifying
the rust in a pipe. If I had a foot long length of pipe,
a heart catheterization where I inject dye, would say
something like: there’s rust in the center of the
pipe and it impedes 20% of flow. That’s what a
heart catheterization tells you, something like that.
A heart scan would tell you something like this:
in this one foot segment of pipe there are 298.2 cm³
of rust. That’s the kind of information a heart
scan yields; not in pipes of course, in your coronary
It’s a wonderful tool;
very easy and inexpensive tool to track whether
there’s plaque growth. If you do nothing, your
heart scan score increases on average about 25-30%
per year. It’s horrifying how fast that score
will go up. A score of 100 will be 130, 180,
and onward — goes up very quickly, if you don’t
What if you take a very high
dose of a statin drug, aspirin, a beta blocker, maybe
an ACE inhibitor? That’s what my colleagues do,
and they call that heart disease prevention. It has
virtually no impact. That’s a
fact. We helped publish those data many years ago.
You put people on the conventional answer, and heart
scan stores are hardly touched at all. They still
continue to progress, at about 25% per year.
About 20 years ago I started from scratch. We
were scanning all these people, and had to devise
new means of putting a stop to these scores. It
led to a very simple menu of strategies — but
they’re not drugs, and they’re not procedures.
Eliminate all grains
The first strategy is the diet that I’ve
articulated in the Wheat Belly books
and now the Undoctored book, and that
is absolute elimination of all grains and sugars. Grains
of course: wheat, rye, barley, millet, corn, oats,
triticale, sorghum … all grains, all seeds of grasses,
and all sugars. Why is that? Well, because the most
common abnormality that leads to having a positive heart
scan score, and heart attacks, is an excess of
small LDL particles (not high LDL cholesterol;
not a high cholesterol — that’s what I call
the kindergarten version).
The real measure is something
you obtain through testing called lipoprotein analysis
or advanced lipoprotein analysis such as NMR the
Liposcience Lab method. That’s what I did for
many years. It quantifies how many small LDL particles
you have. There’s only two common components of
diet that cause formation of small LDL particles:
grains and sugars. So take grains and sugars out of
the diet, and measures of small LDL plummet.
A very typical experience would be
2000 nmol/L (particle count per volume) at the
start, and zero within a few weeks to
months after taking all grains and sugars out of
the diet, or other very low numbers.
In other words, it’s
not just a slight improvement it’s a dramatic
improvement, often obliteration, absolute elimination
of expression of small LDL particles.
That’s a huge advantage. Small LDL particles
last much longer in the bloodstream, are much more
adherent to arterial tissue, they’re much more
inflammatory. They only come from consumption of
grains and sugars.
Now other benefits come from
elimination of grains and sugars: loss of visceral
fat, because visceral fat’s inflammatory.
Inflammatory markers drop like crazy. Blood pressure
drops. You lose weight. Triglycerides come way down.
HDL cholesterol goes way up. In other words, the
elimination of grains and sugars is not just a means
of reducing small LDL particles; it generates
a whole landscape, a broad landscape of improvements
in health that all lead to better control over that
heart scan score.
Vitamin D: 25-OH
vitamin D 60-70- ng/mL
Next is vitamin D. When I added in
vitamin D about 10 so years ago, it was the
first time I watched heart scan scores plummet —
dramatic reductions. Before I added vitamin D,
we were lucky to get a 0% year-over-year (lack
of increase in a heart scan score) or slowed it
down maybe 9% per year increase, or maybe a
very modest, maybe 3% reduction, from one year
to the next. When I added vitamin D,
that’s what we started seeing
24% reduction, 36% reduction,
48% reduction, 72 — incredible amounts
of regression, of reduction in the heart scan
score. So Vitamin D is crucial.
Refer to the
Undoctored and Wheat Belly
Total Health books on exactly how to do that,
but we aim for a 25-hydroxy vitamin D blood
level of 60-70 ng/mL. typical dosing is
6000 units of an oil-based gelcap per day —
typical not, for everybody; that’s why we use
blood tests. Because vitamin D is a powerful
anti-inflammatory agent. It has other beneficial
effects that allow you to reduce your score.
Vitamin D also normalizes calcium metabolism;
the thing we’re measuring in your arteries
by the heart scan score.
3600 mg/day EPA + DHA
Fish oil: we use a true therapeutic dose, which
is 3600 milligrams of EPA and DHA (not of fish oil,
but of EPA and DHA). That’s why you
can’t use krill oil; it’s too trivial
a dose. That’s why you can’t use
flaxseed oil or other sources of linolenic acid.
You want the EPA and DHA of fish oil, 3600 mg,
broken into two different doses: 1800 mg
morning, 1800 mg in the evening.
Iodine and ideal
Iodine and thyroid normalization are very
important. Even marginal degrees of hypothyroidism,
even with a TSH in the high “normal” range, is
enough to make your heart scan score, and thereby
your heart attack risk, go sky-high. Saw it happen
many times, because thyroid disease is very very
common. We start with iodine, 400-500 micrograms
(µg, mcg) per day and we get ideal thyroid
measures. How to identify ideal thyroid function
you’ll find discussed in the
Undoctored and Wheat
Belly books. You want ideal
thyroid status; not “okay”, not
“acceptable”, not your doctor saying
“oh I think your
TSH is okay”. Don’t accept
that. You want ideal
thyroid function, including a normal or ideal
free T3 thyroid hormone.
Well, it’s not a big effect, we supplement
magnesium, because that helps correct such things
as high blood sugars, high blood pressures, and all
the things that contribute to heart scan scores. We
either use the malate or the bicarbonate salts, and
once again to detail how to do that, even how to make
your own magnesium water to supply magnesium
bicarbonate, the most absorbable form magnesium
available, that’s all in the
Undoctored book and Wheat
Belly Total Health.
Lastly, cultivate bowel flora, with a combination
of a high potency multi-species probiotic (with
occasional fermented foods; fermented veggies:
kefir, yogurts that you make yourself) and prebiotic
fibers. That’s a whole conversation of its
own. Find lots of videos and conversations in the Wheat Belly
Blog, and we explore this even further
than in the Undoctored
Inner Circle, website — the community of people
who are deeply involved the Undoctored community.
So that’s it. Follow
those basic six basic strategies and the majority
of people can put a stop to any further increase
in the heart scan score, and most drop their score.
There are exceptions. There are some genetic variants
that I won’t discuss today, but we discuss
further in the Undoctored Inner Circle. We take a
deep dive in these kinds of things. There are genetic
variants such as the apoprotein E gene (ApoE)
and also lipoprotein(a), and some others, but those
are a little bit exceptional. Most people, just by
following these six basic strategies, can stop
their heart score or reduce it.