About this episode
In this episode of The Feldman Protocol, can heart disease prevention be asking the wrong question? Dave sits down with Philip Ovadia, MD, cardiothoracic surgeon, as the guest makes the case for looking beyond LDL alone. They discuss bypass surgery, why cholesterol-lowering hasn’t erased heart disease, insulin resistance, trial design, statins and PCSK9 drugs, real-food diets, CGMs, and how clinicians think about risk in practice.🔥 This episode is sponsored by us -- Own Your Labs http://ownyourlabs.com -- private blood testing services.🩸Over 300 blood tests💰Extremely affordable❤️ We love our customers(Yes, we are literally funding the entire podcast from our own company -- so if you want to show your support, keep getting your private blood testing through our service. Thank you! 🙏)🔗 CONNECT WITH DAVE FELDMAN:Main Channel: https://youtube.com/@realDaveFeldmanX/Twitter: https://x.com/realDaveFeldmanInstagram: https://instagram.com/realDaveFeldmanWebsite: https://thefeldmanprotocol.com⏱ Chapters3:04 – Dave sets the frame9:41 – The preacher’s fallacy16:22 – What else is cholesterol for?23:02 – FOURIER stopped early29:41 – When treatment still fails36:22 – Who benefits from treatment?42:59 – The patient mindset49:40 – Building a new practice56:21 – Insulin in the hospital1:02:58 – Cholesterol stays central1:09:39 – LDL vs A1C tradeoffs1:16:20 – Politics and processed food1:22:58 – Plants, meat, and real food1:29:38 – One diet won’t fit all1:36:20 – CGMs and self-testing1:43:01 – Why Ovadia chose surgery1:49:40 – The challenge of bypass1:56:18 – VCAM and atherosclerosis2:02:57 – Surgical feedback loops2:09:37 – Coming out of surgery2:16:17 – Arguments from medicine2:22:56 – Low-carb doctor network2:29:36 – Podcasting in person2:36:18 – The diabetic pandemic2:42:58 – Why disbelief happens2:49:36 – Shift the focus2:56:18 – ApoB takes center stage3:02:58 – Small dense LDL debate3:09:35 – Patients need clarity3:16:16 – What the scans show3:22:58 – Making sense of the paper3:29:36 – Reading vessel segments3:36:18 – What 100 hearts can show3:42:54 – LDL as a distraction3:49:36 – Arguing the phenotype#FeldmanProtocol #DaveFeldman #PhilipOvadia #HeartHealth #CardiothoracicSurgery #MetabolicHealth #InsulinResistance #LDL #ApoB #LowCarb #RealFood #CGM #Cardiology #PreventiveHealth #NutritionScience #Podcast
