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Wisdom from Dr. Nadir Ali, Interventional Cardiologist

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  • Wisdom from Dr. Nadir Ali, Interventional Cardiologist

    http://lowcarbmd.com/episode-61-dr-n...dest_id=893987

  • #2
    I listened to a good bit of the podcast, and Dr. Ali definitely has a viewpoint. It did seem like he was stuck in the familiar argument of whether a patient (any patient for that matter) should be on a statin, with being on a statin meaning high dose. There isn't any nuance of the difference between a high dose and a low dose statin and any difference between different classes of statins. Dr. Ali says that he explains all of the good and bad with a patient and lets the patient choose, but let's be honest. The way he presents the bad is such that just about no patients who have an average amount of knowledge getting his "facts list" would choose to be on a statin. It isn't as black-and-white a choice as he makes it out to be. For example, he makes a big point about people getting diabetes from statins (high dose and not low dose). Well, were those people entirely normal before starting the statin? Of course not, they were close to being diabetic and a high dose statin usage over an extended period gave them enough additional insulin resistance to push them over the standard diabetic levels. However, if those people had something like an OGTT before starting the high dose statin therapy, they likely would have already shown that they were effectively diabetic.

    Are there any benefits from taking a statin? According to Dr. Ali not really. Well, there are plenty of researchers and other cardiologists who would vehemently disagree with lots of data to back them up. In the end you believe who you want to believe, but the facts aren't really as well defined as he indicates. Low dose statins for those at risk make lots of sense. Keto diets can help people lose weight which is very helpful for many people. That is not the same as saying everyone should be on a keto diet for the remainder of their lives. Maintaining a perspective is important.

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    • #3
      The Four Dangers of Stopping a Statin Drug

      https://www.youtube.com/watch?v=O2udjcm8QZY

      Comment


      • Tom
        Tom commented
        Editing a comment
        If you found the referenced video to be useful, how about providing some details?

    • #4
      Blaming "Big Pharma" for statin promotion is preposterous, as is most of the rest of statin criticism, but it sure sells a lot of books.

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      • #5
        Deception in Cholesterol Research by David Diamond

        https://www.youtube.com/watch?v=inwfSkSGvQw&t=1883s

        Comment


        • Tom
          Tom commented
          Editing a comment
          Dr. Brewer did a good video on David Diamond. He basically agreed with some of the statements that David Diamond makes, but not David Diamond's conclusion. It takes a nuanced approach to tease out risk vs. benefit, and sadly some of this stuff is not balanced in that aspect. Should we give high dose statins to everybody? No, they shriek! Well, duh. What they are preaching is not wisdom.
          https://www.youtube.com/watch?v=jx_ofwUGu8w

      • #6
        The wisdom of Dr. Aseem Malhotra:

        https://www.youtube.com/watch?v=fzZV...ature=youtu.be

        Discussion of statins begins about 10:50

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        • #7
          In an interview with Ivor Cummins, Patrick Theut ( Koncentrated K ) also had similar view point on Statin! In that it reduces CoQ10! ( search on statin)
          https://thefatemperor.com/wp-content...re’s-How.pdf

          Comment


          • Tom
            Tom commented
            Editing a comment
            There is no surprise for anybody who has been looking at statins for a while. If a person is on a high dose statin, then they should consider taking a CoQ10 supplement. If a person is taking a high dose statin and makes no changes to a poor lifestyle, then they have a bigger problem in that they are trying to use a band-aid to fix an open wound that constantly festers so to speak. The band-aid will certainly help in a way, but it won't provide a positive solution in the long term. However, people who do make positive changes to their lifestyle and go on a low dose statin do not see the typical side effects that some people (not most people) experience from a high dose statin. It goes back to risk analysis and risk management. It is easy for patients to accept getting a high dose statin from their doctor for a while, and it is easy for the doctor to give it to them. Statins have a lot of benefits if used in a way that supports a long-term healthier lifestyle. As band-aids, well that is where we get all of the statin hating.
            Last edited by Tom; 10-28-2019, 01:03 AM.
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