Heart Doc VIP with Dr. Joel Kahn

Episode 475: The Great Debate on Aspirin Dosing and the President

Jan 6, 2026
The podcast dives into the fascinating world of aspirin dosing and its link to body weight in preventing cardiovascular events. Recent studies reveal that higher doses may be crucial for effectiveness. The discussion also highlights the health risks of frequent carryout meals and the surprising connection between cold drinks and atrial fibrillation. Listeners gain insights on statin benefits for diabetics, the risks of tramadol, and how cystatin C can improve kidney assessments. Plus, inspiring recovery stories and an invitation to a fasting group add more depth.
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ADVICE

Cut Down On Takeaway Meals

  • Avoid eating takeaway or carryout meals frequently because they raise inflammation and cardiometabolic risk.
  • Cook at home more often to lower blood glucose, triglycerides, and insulin resistance.
INSIGHT

Statins Benefit People With Type 2 Diabetes

  • Statin therapy in type 2 diabetes reduced all-cause mortality and major cardiovascular events by about 20% across risk groups.
  • The analysis found only a small increase in myopathy and no liver dysfunction signal.
ADVICE

Avoid Tramadol When Safer Options Exist

  • Reconsider tramadol for pain because evidence shows little benefit and increased cardiovascular events.
  • Ask your clinician about safer alternatives or nonpharmacologic options.
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