Paul Saladino MD podcast

257. Exposing The Cholesterol Myth Doctors Won't Admit w/ Dr. Philip Ovadia

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May 6, 2025
In this enlightening conversation, Dr. Philip Ovadia, a cardiothoracic surgeon specializing in metabolic health, challenges the misconceptions surrounding cholesterol. He explains why a high LDL level doesn't paint the whole picture of heart disease risk, advocating for a focus on metabolic health instead. The discussion dives into the implications of diet, the benefits of organ meat, and the role of advanced testing like CAC scans. Dr. Ovadia stresses the importance of individualized health assessments and the potential downsides of conventional treatments like statins.
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ANECDOTE

LDL Rise in Low-Carb Dieters

  • Many people on low-carb or carnivore diets experience a rise in LDL cholesterol, alarming conventional doctors.
  • Dr. Phil Ovadia explains this "hyper responder" effect is common but context-dependent.
INSIGHT

LDL Context and Heart Disease Risk

  • LDL cholesterol levels alone don't predict heart disease; particle size, insulin resistance, and inflammation matter more.
  • Imaging like CAC scans provides direct insight into atherosclerosis beyond blood tests.
ANECDOTE

Surgeon's Personal Health Transformation

  • Dr. Ovadia was morbidly obese and prediabetic earlier in his career despite following medical advice.
  • Adopting a low-carb, then carnivore diet, he lost weight sustainably, improved health, yet LDL remained high while CAC score is zero.
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