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Is insulin resistance a bigger driver of heart disease than cholesterol? Cardiothoracic surgeon Dr. Philip Ovadia joins The Pod of Inquiry to challenge some of the most deeply held assumptions in modern cardiology.

Dr. Ovadia knows the problem firsthand. Despite being a practicing heart surgeon, he became morbidly obese and pre-diabetic while following the conventional health advice he had been taught. After losing 100 pounds and reversing his pre-diabetes, he began questioning whether cardiology has focused too heavily on cholesterol while overlooking metabolic health.

In this episode, we explore:

🔹 Insulin resistance vs. LDL cholesterol — which better predicts cardiovascular risk?
🔹 Why Dr. Ovadia says metabolic health may be a critical missing piece in heart disease prevention
🔹 The Women's Health Initiative findings he believes deserve more attention
🔹 His own experience with very high LDL levels and a coronary calcium score of zero
🔹 What the Keto CTA trial suggests about LDL, ApoB, and actual coronary plaque progression
🔹 Small, dense vs. large, buoyant LDL particles and why particle characteristics may matter
🔹 The relationship between insulin resistance, metabolic health, and cardiovascular disease
🔹 Dr. Ovadia's criticism of conventional cardiology and the American Heart Association
🔹 The role of gut health, nutrition, and animal foods in his broader metabolic-health approach
🔹 Insights from his new book, Stay Off My Kitchen Table

If you've ever wondered whether cholesterol is the whole story behind heart disease, this conversation offers a provocative look at the metabolic factors that may deserve more attention.

⚠️ Disclaimer: This episode is for educational and informational purposes only and is not medical advice. Always discuss changes to medications, diet, or treatment with a qualified healthcare professional.

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Visit our website https://podofinquiry.com/latest-episodes/ - click on the show link to read the show notes and get more information.

Timestamps:
00:00 Introduction
02:06 Surgeon Becomes His Own Cautionary Tale
04:49 5 Numbers That Predict Heart Attack Risk
08:06 The Insulin Resistance Connection
10:40 Nattokinase & Carotid Plaque
14:48 Sponsor: ValAsta Astaxanthin
17:34 The Study That Challenged Cholesterol
21:30 Keto CTA Trial & High LDL
23:54 Sponsor: BBack Footwear
25:37 One Root Cause, Many Diseases
28:30 Is the AHA Behind the Science?
32:13 Why Statins May Not Work for Everyone
37:42 Stay Off My Kitchen Table
40:49 Find Dr. Ovadia
42:52 Closing & Sponsor: Nature's Marvels

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#HeartDisease #InsulinResistance #MetabolicHealth #CardiovascularHealth #Cholesterol #LDL #DrPhilipOvadia