The Proof with Simon Hill

Do I have heart disease? My heart scan results | Ft. Dr Thomas Dayspring, Md and Dr Dan Soffer, Md

11 snips
Jul 8, 2025
Join cardiologists Dr. Thomas Dayspring and Dr. Dan Soffer as they dive into the fascinating world of heart health. Dayspring, a preventive cardiology expert, unpacks the implications of coronary calcium scans and discusses cholesterol management, while Soffer shares critical insights into atherosclerosis. The conversation explores the significance of ApoB levels and lifetime cholesterol exposure, the balance between diet and medication, and the importance of transparent health decisions for long-term wellness.
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ANECDOTE

Simon Hill's Diet Change Story

  • Simon Hill changed from a meat-heavy paleo diet to a plant-based diet after learning his LDL cholesterol was high.
  • Within a year, his LDL dropped to levels considered excellent by cardiologists for preventing heart disease.
INSIGHT

Calcium Score Insight

  • Coronary calcium indicated by calcium scores reflects a healing response to plaque, not necessarily a direct disease measure.
  • Calcification presence varies, and low score percentiles don't guarantee absence of risk or disease.
INSIGHT

Lifetime LDL Exposure Importance

  • Lifetime LDL cholesterol exposure (LDL level multiplied by years) correlates well with plaque volume and heart disease risk.
  • Lower LDL earlier in life slows progression to symptomatic cardiovascular disease.
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