What's the Difference Between Primary Prevention and Secondary Prevention?

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In primary prevention, the aim is to get people's LDL cholesterol to 70 milligrams per deciliter or less. In secondary prevention, in people who've already had a coronary event or a cardiovascular event, they're high risk and on statin. The aim is to further use additional pharmacotherapies,. specifically now real enthusiasm for PCSK9 inhibitors to get that LDL cholesterol down to less than 30 milligramsper deciliter. But, again, in high risk individuals, other events still occur. So yeah, they're the two kind of distinctions we can make now in terms of primary and secondary prevention and kind of targets to treat too.

In Episode #231, I sit down with Dr Alan Flanagan and Danny Lennon to examine cholesterol, statins, the ketogenic diet, and longevity. Dr Alan Flanagan and Danny Lennon address whether cholesterol matters if you’re metabolically healthy, why our veins don’t get atherosclerosis, and why our body makes cholesterol if it’s “bad for us”. They also offer advice on dietary adjustments you can make regardless of your dietary pattern, claims by social media “health gurus”, and much more.

LDL cholesterol has been making waves on social media in recent years. With some diet camps making bold claims about its relevance and the apparently open-ended nature of the evidence, many folks are no doubt left unsure of how important cholesterol levels really are. In this episode, I’m joined by Danny Lennon and Dr Alan Flanagan to consider the role and importance of LDL cholesterol as we recap what the literature says.

Specifically, we discuss:

Intro (0:00)
Basics of Cardiovascular Health (4:29)
ApoB for Predicting Disease (12:18)
Heart Disease: Where things go wrong (23:23)
What Causes Artery Damage? (38:47)
Paul Saladino Claims (50:36)
Is low cholesterol a problem? (1:04:07)
Future of Gene Editing (1:27:12)
Veins vs Arteries (1:32:28)
Diet Claims (1:41:08)
Healthy Keto Diet (1:54:08)
MCT Oil (2:00:02)
Healthy Fats (2:03:28)
Final Thoughts (2:09:54)
Outro (2:19:05)

You can find Dr Alan Flanagan on Instagram, and learn more about Alinea Nutrition at https://www.alineanutrition.com/. Listen to his previous appearances on the show in Episode #159, Episode #225, and Episode #227.

To connect with Danny Lennon, head to his on Instagram and Twitter. Make sure to check out the Sigma Nutrition website and podcast. Danny previously appeared on The Proof in Episode #173.

Discover additional resources, supporting studies, and more insights in the full show notes.

Enjoy, friends.

Simon

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Simon Hill, Msc, Bsc (Hons)

Creator of TheProof.com and host of The Proof with Simon Hill

Author of The Proof is in the Plants

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