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Dr.Alo and Hannah unpack FLOWPROMOTE, a new JAMA Cardiology trial that used full coronary CT scans to track plaque changes in statin naive patients over eighteen months. They explain why soft plaque shrank in 98 percent of patients on rosuvastatin plus ezetimibe, and why a rising calcium score during treatment is actually a good sign, not a warning. Listeners walk away with a clear picture of what the LDL and plaque numbers really mean for their own heart health. https://dralo.net/links Read the full post: https://www.dralo.net/blog/reverse-soft-plaque Questions this episode answers:Can coronary plaque actually shrink or reverse?Does a rising calcium score mean my statin isn't working?What is the difference between soft plaque and calcified plaque?Is rosuvastatin plus ezetimibe better than atorvastatin alone?What LDL level helps shrink plaque?What is the FLOWPROMOTE trial? Keywords: plaque reversal, flowpromote trial, rosuvastatin ezetimibe, coronary ct angiogram, soft plaque, calcified plaque, ldl cholesterol, calcium score, statin naive patients, heart disease prevention, apob testing, coronary artery disease This episode is for education only and is not medical advice. Talk to your own clinician about your own situation. #heart #cardiology #drAlo #flowpromote #plaquereversal #statins #heartscan

Dr.Alo breaks down the claim that insulin resistance, not LDL, is the real cause of heart disease, walking through studies on children with familial hypercholesterolemia, a 63,000-person dataset, insulin-producing tumors, and a 2024 imaging study of supposedly healthy adults. He explains why chasing a fasting insulin number misses the point and what actually predicts your risk. https://dralo.net/links Read the full post: https://dralo.net/blog/Insulin-resistance-heart-disease Questions this episode answers:Does insulin resistance cause heart disease?Is LDL cholesterol or insulin resistance the real cause of heart disease?Can you get heart disease without insulin resistance?Is fasting insulin a good test for insulin resistance?Does obesity cause diabetes?What is familial hypercholesterolemia and heart disease risk? Keywords: insulin resistance, heart disease, ldl cholesterol, apob, familial hypercholesterolemia, fasting insulin test, metabolic syndrome, atherosclerosis, cardiovascular risk, cholesterol myths, diabetes and heart disease, plaque buildup This episode is for education only and is not medical advice. Talk to your own clinician about your own situation. #heart #cardiology #drAlo #cholesterol #apob #insulinresistance #heartdisease

A new trial called STREAM got reported as proof it's safe to stop statins after seventy, but the actual data shows more than double the heart attacks and strokes in the group that quit.Dr. Alo walks through what noninferior really means statistically, why the headlines missed the real story, and exactly what he tells his own older patients about staying on or coming off a statin. https://dralo.net/links Read the full post: https://dralo.net/blog/stop-statin Questions this episode answers:Is it safe to stop taking statins after age 70?What did the STREAM trial actually find about stopping statins?What does noninferior mean in a clinical trial?Does stopping a statin raise heart attack risk in older adults?Should I stop my statin if I feel fine?What are alternatives to statins for lowering LDL? This episode is for education only and is not medical advice. Talk to your own clinician about your own situation. #heart #cardiology #drAlo #statins #cholesterol #heartdisease #ldl

A cardiologist breaks down every visible and physical sign of clogged arteries, from yellow eyelid bumps to chest pain on exertion, and explains why the scariest sign of all is feeling completely fine.He then walks through what actually lowers risk, starting with the numbers that matter most: LDL, apoB, and Lp(a). https://dralo.net/links Questions this episode answers:What are the signs of clogged arteries?Can you see clogged arteries on your skin or eyes?What does xanthelasma mean for cholesterol?Why do most people with clogged arteries have no symptoms?What LDL level causes plaque buildup?Should I get a calcium score or apoB test? Keywords: clogged arteries, atherosclerosis signs, high cholesterol symptoms, xanthelasma, arcus senilis, ldl cholesterol, apob test, familial hypercholesterolemia, chest pain exertion, coronary calcium score, heart disease prevention, silent heart disease This episode is for education only and is not medical advice. Talk to your own clinician about your own situation. #heart #cardiology #drAlo #cholesterol #atherosclerosis #heartdisease #ldl

Dr.Alo breaks down the actual research on red meat, processed meat, and poultry, covering coronary heart disease, cholesterol, inflammation, diabetes risk, and mortality data from major meta-analyses and the UK Biobank. You will learn how grass fed compares to grain fed beef, why the keto diet data raised red flags, and what Dr. Alo personally tells his patients who refuse to give up steak. https://dralo.net/links Read the full post: https://dralo.net/blog/red-meat-healthy Questions this episode answers:Does red meat raise heart disease risk?Is grass fed beef healthier than grain fed?Does red meat cause type 2 diabetes?Is a keto diet bad for your heart?How much red meat is safe to eat?What does apoB have to do with eating steak? Keywords: red meat and heart disease, processed meat risk, grass fed vs grain fed beef, apob cholesterol, red meat diabetes risk, keto diet heart risk, coronary heart disease diet, saturated fat and cholesterol, uk biobank diet study, cardiologist diet advice, ldl cholesterol meat, meat and inflammation This episode is for education only and is not medical advice. Talk to your own clinician about your own situation. #heart #cardiology #drAlo #redmeat #apob #heartdisease #ketodiet

Dr.Alo breaks down fellow cardiologist Dr. Abeer Berry's Orlando conference talk on heart disease in women, covering the symptoms that get dismissed, the risk factors unique to women, and the conditions doctors frequently miss. You will learn exactly what to ask your doctor for, when symptoms mean call 911, and the ninety day plan Dr. Berry built to help women start taking action today. https://dralo.net/links Read the full post: https://dralo.net/blog/women-heart-disease Questions this episode answers:What are the symptoms of heart disease in women that get missed?How does pregnancy history affect future heart disease risk?What is INOCA and SCAD?When should I call 911 for heart attack symptoms?What tests should women ask their doctor for to check heart health?How does menopause affect heart disease risk? Keywords: heart disease in women, womens heart health, cardiovascular risk women, preeclampsia heart risk, menopause heart disease, inoca symptoms, scad heart condition, peripartum cardiomyopathy, ldl cholesterol women, heart attack symptoms women, pcos heart risk, preventive cardiology This episode is for education only and is not medical advice. Talk to your own clinician about your own situation. #heart #cardiology #drAlo #womensheart #heartdisease #preventivecardiology #inoca

Dr.Alo breaks down why the viral claim that vitamin K2 and D3 reverse clogged arteries does not hold up, walking through animal studies, observational data, and the AVADEC randomized controlled trial. He explains why a dropping calcium score on a repeat scan is almost always scan variability rather than real plaque reversal, and what the evidence actually shows moves the needle on heart disease risk. https://dralo.net/links Read the full post: https://dralo.net/blog/k2 Questions this episode answers:Does vitamin K2 reverse coronary artery calcium?Why did my calcium score go down after taking K2?What does the AVADEC trial show about vitamin K2?Is K2 and D3 good for arteries?What actually lowers coronary calcium buildup?How accurate are repeat calcium score scans? Keywords: vitamin k2, coronary calcium score, avadec trial, ldl cholesterol, apob, arterial plaque, matrix gla protein, k2 and d3 supplement, heart disease prevention, calcium score reversal, mk-7 vitamin k2, cardiologist advice This episode is for education only and is not medical advice. Talk to your own clinician about your own situation. #heart #cardiology #drAlo #vitamink2 #calciumscore #cholesterol #apob

Dr.Alo separates the cholesterol-lowering strategies backed by real data from the ones that barely matter, breaking down what diet, fiber, exercise, and sleep can and cannot do to your LDL. You will also learn why young, seemingly healthy people already have plaque forming in their arteries and what that means for anyone hoping to avoid medication entirely. https://dralo.net/links Read the full post: https://dralo.net/blog/lower-cholesterol-naturally Questions this episode answers:What actually lowers cholesterol without medication?Does exercise lower LDL cholesterol?How much does fiber lower cholesterol?Do I need statins for high cholesterol?Why do young healthy people have plaque in their arteries?Does red yeast rice actually work for cholesterol? Keywords: lower cholesterol naturally, ldl cholesterol, statins, saturated fat and cholesterol, soluble fiber cholesterol, mediterranean diet cholesterol, dash diet, red yeast rice, cardiovascular disease prevention, plaque buildup arteries, hdl cholesterol myths, cholesterol lowering foods This episode is for education only and is not medical advice. Talk to your own clinician about your own situation. #heart #cardiology #drAlo #cholesterol #heartdisease #ldl #statins

Dr.Alo explains why blood pressure targets never shift with age, even though readings tend to creep up after 60. You'll learn why systolic pressure becomes the bigger concern as arteries stiffen, what wide pulse pressure means, and the exact seven day home-measuring method that beats a single office reading. https://dralo.net/links Read the full post: https://dralo.net/blog/normal-blood-pressure-by-age Questions this episode answers:What is a normal blood pressure for someone over 60?Does blood pressure target change with age?Why does systolic blood pressure rise as you get older?What is a wide pulse pressure and why does it matter?How should I measure my blood pressure at home?What blood pressure number means I should call my doctor? Keywords: blood pressure after 60, systolic blood pressure, hypertension in seniors, normal blood pressure by age, pulse pressure, how to measure blood pressure, blood pressure chart, stage one hypertension, stage two hypertension, heart health seniors, cardiologist advice, home blood pressure monitoring This episode is for education only and is not medical advice. Talk to your own clinician about your own situation. #heart #cardiology #drAlo #bloodpressure #hypertension #hearthealth #healthyaging

Dr.Alo breaks down the actual clinical trial data, including the landmark 2026 STAREE trial, to answer whether starting or continuing a statin after 65, 70, or 75 is worth it. You'll learn the real numbers on heart attack and stroke risk reduction, side effect rates, and the specific situations where stopping a statin might actually make sense. https://dralo.net/links Read the full post: https://dralo.net/blog/statins-over-65 Questions this episode answers:Should I start a statin in my 70s or 80s?Is it too late to lower cholesterol after 70?What did the STAREE trial find about statins in older adults?Are statin side effects more common in elderly patients?When should an older adult stop taking a statin?Do statins still help if I've already had a heart attack? Keywords: statins after 70, cholesterol in elderly, staree trial, statins and aging, ldl cholesterol, heart attack prevention, statin side effects, coronary calcium score, primary prevention statins, secondary prevention heart disease, statins over 65, cardiologist advice cholesterol This episode is for education only and is not medical advice. Talk to your own clinician about your own situation. #heart #cardiology #drAlo #statins #cholesterol #heartdisease #healthyaging

A new randomized trial scanned every coronary artery with CT and found that dangerous soft plaque shrank in 51 of 52 patients on rosuvastatin plus ezetimibe.Dr. Alo breaks down the LDL numbers, the waterfall chart of plaque regression, and why a rising calcium score after starting a statin is not actually bad news. https://dralo.net/links Questions this episode answers:Can soft plaque in arteries actually shrink or reverse?What is the FLOWPROMOTE trial and what did it find?Does rosuvastatin plus ezetimibe reduce coronary plaque?Why did my calcium score go up after starting a statin?How low should LDL be to reverse plaque?What is the difference between soft plaque and calcified plaque? Keywords: flowpromote trial, plaque reversal, soft plaque, coronary ct angiogram, rosuvastatin ezetimibe, ldl cholesterol, calcium score increase, statin therapy, atherosclerosis reversal, apob testing, heart disease prevention, cardiology research This episode is for education only and is not medical advice. Talk to your own clinician about your own situation. #heart #cardiology #drAlo #cholesterol #plaquereversal #statins #heartdisease

A cardiologist walks through nine landmark imaging trials that used IVUS, OCT, and NIRS to directly observe coronary plaque shrinking and stabilizing in living patients, overturning decades of belief that heart disease only gets worse.You'll learn how aggressive LDL and ApoB lowering changed plaque volume, cap thickness, and lipid content across statins, ezetimibe, and PCSK9 inhibitors. The episode ends with a 2023 trial targeting silent, non-obstructive plaques before they ever cause a heart attack. https://dralo.net/links Read the full post: https://dralo.net/blog/reverse Questions this episode answers:Can heart disease actually be reversed?What do IVUS, OCT, and NIRS imaging trials show about plaque?How low should LDL go to reverse atherosclerosis?What is the GLAGOV trial and why does it matter?Does lowering ApoB help shrink arterial plaque?What happens to coronary plaque right after a heart attack? Keywords: heart disease reversal, plaque regression, ivus imaging, oct imaging, nirs imaging, statin therapy, pcsk9 inhibitors, ldl cholesterol, apob particles, coronary artery disease, atherosclerosis trials, cardiology research This episode is for education only and is not medical advice. Talk to your own clinician about your own situation. #heart #cardiology #drAlo #atherosclerosis #plaquereversal #cholesterol #heartdisease

Dr.Alo and Hannah break down why heart attacks really do spike in the morning, and dig into four daily habits after 60 that can raise or lower that risk. They sort out which claims are backed by real clinical trials and registries, and which are internet myths, landing on the three habits that actually move the needle for heart protection. https://dralo.net/links Read the full post: https://dralo.net/blog/4-morning-habits-that-raise-your-heart-attack-risk-after-60 Questions this episode answers:Why do heart attacks happen more in the morning?Is it dangerous to skip my morning blood pressure medication?Should I check my blood pressure every morning after 60?Is snow shoveling bad for your heart?Does skipping breakfast increase heart attack risk?Is coffee bad for your heart? Keywords: morning heart attack risk, heart attack after 60, blood pressure medication, morning blood pressure spike, heart attack prevention, cardiologist advice, statin aspirin beta blocker, snow shoveling heart attack, skipping breakfast heart disease, heart disease risk factors, home blood pressure monitoring, cardiac medication adherence This episode is for education only and is not medical advice. Talk to your own clinician about your own situation. #heart #cardiology #drAlo #heartattack #bloodpressure #heartdisease #healthyaging

Dr.Alo and Hannah break down four morning habits that supposedly spike heart attack risk after sixty, checking each one against the actual research instead of internet assumptions. You'll learn what the data really shows about morning blood pressure checks, stopping heart medication, cold weather exertion, and skipping breakfast. They close with the three habits that genuinely move the needle on heart protection. https://dralo.net/links Read the full post: https://dralo.net/blog/4-morning-habits-that-raise-your-heart-attack-risk-after-60 Questions this episode answers:Why do heart attacks happen more in the morning?Is it dangerous to skip heart medication in the morning?Should I check my blood pressure every morning?Is shoveling snow bad for your heart after 60?Does skipping breakfast increase heart attack risk?What really protects your heart as you age? Keywords: morning heart attack, heart attack risk after 60, blood pressure monitoring, heart medication adherence, snow shoveling heart attack, skipping breakfast heart risk, aspirin heart attack prevention, beta blocker risks, cardiovascular health seniors, morning blood pressure surge, heart disease prevention, statin discontinuation risk This episode is for education only and is not medical advice. Talk to your own clinician about your own situation. #heart #cardiology #drAlo #heartattack #bloodpressure #healthyaging #hearthealth

Dr.Alo digs into the actual blinded trial data on atorvastatin side effects, covering muscle aches, liver enzymes, blood sugar, and memory, and reveals why the nocebo effect convinces so many people a pill is hurting them when it isn't. You'll learn exactly which symptoms are common but harmless, which deserve a call to your doctor, and which are true emergencies. https://dralo.net/links Read the full post: https://dralo.net/blog/atorvastatin-side-effects-what-is-normal-and-what-is-not Questions this episode answers:Does atorvastatin really cause muscle pain and aches?What is the nocebo effect and how does it relate to statin side effects?Can statins cause liver damage or raise blood sugar?Is it safe to stop taking atorvastatin if I have side effects?What are the real emergency symptoms from statin medications?Does atorvastatin affect memory or cause cognitive decline? Keywords: atorvastatin side effects, statin muscle pain, lipitor side effects, nocebo effect statins, statin liver enzymes, statin blood sugar, statin memory loss, cholesterol medication risks, statin rhabdomyolysis, ezetimibe statin alternative, statin drug interactions, cardiologist explains statins This episode is for education only and is not medical advice. Talk to your own clinician about your own situation. #heart #cardiology #drAlo #atorvastatin #statins #noceboeffect #cholesterol