Why Heart Disease Happens Even When You’re 'Doing Everything Right' | Dr Thomas Dayspring, Md and Dr Dan Soffer, Md

Jul 21, 2025

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This episode is the uncut conversation with Dr. Thomas Dayspring and Dr. Dan Soffer, unpacking the results of my coronary CT angiogram and CACS score. We explore what these scans reveal about cardiovascular risk, why good bloodwork isn’t always enough, and how to use tools like ApoB, Lp(a), and imaging to get a clearer picture of heart health. We also discuss statins, lifestyle changes, and the value of early prevention.

Topics we cover:

My coronary scan results explained
What drives plaque and cardiovascular risk
Advanced lipid testing (ApoB, Lp(a), LDL)
Medication vs lifestyle: when and why
Misconceptions about “normal” bloodwork
What to do if your CAC score isn’t zero

For anyone serious about long-term heart health, this is a must-listen.

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