Dr Ford Brewer - PrevMed

Watch This Before Stopping Baby Aspirin (Might Save your Life) - Ford Brewer MD MPH (PrevMed Health)

Jul 22, 2025
Dr. Ford Brewer dives into the world of baby aspirin, challenging common misconceptions about its use. He shares his personal journey with arterial plaque and the decision to maintain aspirin treatment despite risks. The podcast explores how prediabetes contributes to arterial inflammation and heart health. Brewer emphasizes the importance of individualized risk assessments and discusses testing for plaque and prediabetes, alongside the benefits of lifestyle changes. Additionally, he compares aspirin to alternative medications, providing clarity on when and how to use it.
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ANECDOTE

Physician's Personal Plaque Discovery

  • Dr. Ford Brewer discovered arterial plaque at 57 and began daily baby aspirin (81 mg).
  • He credits aspirin with helping him avoid a heart attack while also addressing underlying prediabetes.
ADVICE

Take Low-Dose Aspirin With Plaque

  • If you already have arterial plaque, treat yourself as a cardiovascular patient and take baby aspirin.
  • Use 75–110 mg (commonly 81 mg) daily rather than full-dose aspirin for prevention.
INSIGHT

How Soft Plaque Causes Clots

  • Heart attacks usually start when inflamed artery linings let LDL enter and form soft, inflammatory plaque.
  • That soft plaque's inflammatory goo triggers clots which cause heart attacks or strokes.
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