The following program
presents principles designed
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to promote good health
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and is not
intended to take the place
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of personalized
professional care.
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The opinions and ideas expressed
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are those of the speaker.
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Viewers are encouraged to
draw their own conclusions
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about the information presented.
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Remember when you were a kid
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and your mom
kept getting after you
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to eat your vegetables?
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Despite your distaste for
them when you were younger,
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you'd probably have
to acknowledge today
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that she was right.
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On today's program,
we'll be sharing the best foods
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you can eat to
promote cardiovascular health,
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and we'll be sharing
ideas that you can use
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to improve your health today
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no matter where
you're starting from.
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The Ultimate
Prescription starts now.
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Thanks for joining us here today
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for the Ultimate Prescription.
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A program dedicated to
helping us better understand
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God's design for our lives
and experience better health
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by following His plan.
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I'm your host Nick Evenson
here with Dr. James Marcum
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for an excellent program today
in which we'll be discussing
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nutrition for
cardiovascular health.
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Dr. Marcum,
welcome to the program.
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Yeah. It's nice to be here.
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And the world's changed
since I started practicing
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27 years ago.
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In the old days, we
didn't talk much about nutrition
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in treating heart disease
and vascular disease at all.
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But now it's one
of the first things
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we talk about to prevent disease
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and also even use as a treatment
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for these diseases, so
it's very interesting topic.
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But before we do that,
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I want to just sort
of review some things.
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Yeah.
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I was going to say you
have a unique perspective.
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Yeah.
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A lot of doctors,
all they have time
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from their bosses is 10
minutes with the patients,
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15 minutes with the patients,
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so they're trying to
do the best to understand
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the symptoms, and write
a pill, and out the door
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the patient goes a lot of times.
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But you promote the
Ultimate Prescription.
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What is that?
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Let's review kind
of your perspective.
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I sort of want to
review this 'cause this is good
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that we all go
back over this every
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so often to get
a good framework.
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It's like a foundation
we can build on, okay?
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Yeah.
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First of all, you
know, I'd like to tell people
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why they're sick.
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And we've talked about it.
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Unfortunately, each one
of us has bad genes, okay?
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And as we go through life,
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depending on which
gene acts up first,
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then we have a symptom.
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And what turns on these genes?
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Well, some of
our lifestyle habits.
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You know, if you have
heart disease, for instance,
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and you smoke,
and you have diabetes,
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and you eat fatty
foods all the time,
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you don't exercise,
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and everyone in your family
had heart disease at age 70,
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you might have
heart disease at age 50.
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Right. Yeah.
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The genes get turned
on, you have a symptom,
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the symptom leads you to doctor,
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and the doctor might treat
you with angioplasty or stent
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or medicines or whatever, okay?
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Well, we try to prevent
the aging process of the genes,
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so that's why we're sick,
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all the
stressors and the bad genes
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we have to begin with, okay?
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And it's inevitable.
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We're all going to come down
with something sooner or later.
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We want to keep it later,
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and also, we want
to have a good plan.
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The next thing I'd
like to focus patients
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on is balance.
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You know, what's the balance?
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You know, there's a
place for lifestyle changes,
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you know, exercise,
nutrition, good thoughts,
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but that doesn't heal you,
okay, that doesn't heal you.
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There's a place
for modern medicine,
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and that helps your symptoms,
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and it's great
for acute problems,
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but that doesn't
make you perfect.
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Right.
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But what we want
to bring people to
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is the relationship
with Christ because in that,
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we can have
healing, we can have peace,
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we can have eternity.
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So that's where we want to start
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our focus on healthcare,
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and that leads us to
biblical prescriptions.
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Well, what does a
Bible say about health?
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You know, one of the texts
we talk about is "Come unto Me,
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and I will give you rest."
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So when we come to
Christ through worship,
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through that relationship,
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everything
starts to come together.
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He gives us the power
to make lifestyle changes
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and realize that
if we have bad genes,
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we need a Savior, okay,
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to heal us in
His time, in His way.
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And also we need appropriate
use of modern medicine,
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especially for emergencies,
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you know, it's
great place for that.
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So that's sort of the
framework I like to present,
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and everyone has a
little bit different pathway.
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You know, it's not the same path
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for Nick Evenson
or for James Marcum
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or for anyone, each one
has a little bit different path
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that we go on through life,
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and it's based on
these general principles
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that help us.
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So I think, that
as we understand that,
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that helps build us a framework
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as we start talking
about one of these areas
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what nutrition is,
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that's been
something that's changed a lot
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through the years.
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You know, Dr. Marcum, I
think that's a great perspective
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because we think back,
even with your practice,
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all the patients that you
treat as good a job as you do,
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they're going to expire
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at some point
here on this earth.
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Right.
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And all the
people that Jesus healed,
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they all expired at
some point as well despite,
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you know, the touch of
God's hand healing them.
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And so focusing on
the long-term healing,
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the eternal healing is just
that it makes so much sense.
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And it also, when
you focus on that, Nick,
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there's health
benefits in the short time.
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Yeah.
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I noticed that people
that have that reassurance,
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they don't have to fear,
they don't have to be anxious,
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they know where they're going,
they know where their power
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is coming from,
they have this peace
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that passes or understanding.
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And when they learn this,
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and it's
something you grow with,
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and it's
something you improve on,
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just like all aspects of health,
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when you understand
this and develop this,
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you have health
benefits as well.
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And the same
thing that's happened
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with other aspects in health
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and everything in
health is changed.
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I'm looking at the
practice of modern medicine,
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I was comminate.
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You know, what we're
doing with hearts has changed
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so much over the
last 10, 15 years.
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Yeah.
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We have technology
that I never dreamed of
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when we first started.
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When we first
started with heart attacks,
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we would have a medicine
that would dislodge the clot,
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we call that a thrombolytic.
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Well, now we
don't even use those.
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We go in and put
stents in, you know?
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Years ago, we used to put...
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You know, pacemakers
were totally different
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than we're doing now.
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Now we have a leadless system.
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We have little
pacemakers that look like ticks
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that we put in the body.
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Now we're putting in valves
without cutting open the chest
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or the same thing has happened
in the nutritional world.
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We're now seeing nutrition
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as a way to treat
cardiovascular disease,
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when you have a symptom,
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as well as a way
to prevent the disease
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in the first
place so you don't need
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the modern medicine.
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Right, yeah. That's fascinating.
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You know, the
understanding that we have of...
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Okay, here's the symptoms,
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here's what's actually going on,
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the understanding of
better ways to treat,
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that growth is
just, it's amazing,
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you know, the
little tiny pacemakers
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that you were talking about,
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I think, technology
is a fantastic tool.
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But once again, it's
not the eternal solution.
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Right.
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And that's the balance
we want to focus people on,
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you know, when to use
this, when to use that
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but also have that safe place
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that they always
can use as the base.
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Yeah.
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Well let's move on.
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We'd like to
answer viewers' questions
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on this program,
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and if you have a question,
you can go to the website
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HeartwiseMinistries.org.
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There's a lot
of resources there.
00:07:04.75\00:07:06.09
And one of them
is you can submit
00:07:06.12\00:07:07.46
your health questions,
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and one of Dr.
Marcum's associates will get on
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and try and steer you
in the general direction
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to where you can
find some answers.
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And we've got a question
here that's been written in,
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and the person is asking,
00:07:17.90\00:07:19.33
"What is the safest
treatment or medication
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for those with
high blood pressure?"
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Yeah.
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Well, high blood
pressure is a symptom
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of cardiovascular
disease but not a cause.
00:07:26.81\00:07:29.38
Right.
00:07:29.41\00:07:30.75
So when someone comes in
with high blood pressure,
00:07:30.78\00:07:32.95
you know, I want to ask them,
00:07:32.98\00:07:34.32
well, why do they
have high blood pressure.
00:07:34.35\00:07:36.62
Why? Okay?
00:07:36.65\00:07:38.32
There's many
medicines that we can use,
00:07:38.35\00:07:40.62
and sometimes we
use them right away
00:07:40.66\00:07:42.62
if the person's risk is high.
00:07:42.66\00:07:45.09
Let's say
they're having aneurysm
00:07:45.13\00:07:46.90
or they're having a heart attack
00:07:46.93\00:07:48.26
or having some other big issue,
00:07:48.30\00:07:49.93
vascular issue,
they've had a stroke,
00:07:49.96\00:07:52.27
then we might want to treat them
00:07:52.30\00:07:53.70
aggressively
upfront with medications
00:07:53.74\00:07:56.60
until we can
teach them other ways
00:07:56.64\00:07:58.47
and get to the cause.
00:07:58.51\00:08:00.01
Sometimes, it takes a while
to get at the cause, you know?
00:08:00.04\00:08:04.61
So some of the common
causes of high blood pressure
00:08:04.65\00:08:07.42
are too much salt in
processed foods, you know?
00:08:07.45\00:08:11.19
Over the last 200 years,
00:08:11.22\00:08:13.52
you know, the way we keep foods
00:08:13.56\00:08:15.19
for longer
periods of time is salt,
00:08:15.22\00:08:17.16
and we process them,
00:08:17.19\00:08:18.53
we put lots of
sodium in the foods.
00:08:18.56\00:08:20.40
We actually don't
need much sodium at all.
00:08:20.43\00:08:23.47
You know, they're recommending
00:08:23.50\00:08:24.83
about 2,000
milligrams of sodium,
00:08:24.87\00:08:26.84
even that's too much.
00:08:26.87\00:08:28.60
So when sodium is in the body,
it brings water into the body.
00:08:28.64\00:08:32.91
When water comes into the body,
00:08:32.94\00:08:35.28
and the body
wants to compensate.
00:08:35.31\00:08:37.65
And the way it compensates
00:08:37.68\00:08:39.01
is to turn on different hormones
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and it tries to
get rid of the water.
00:08:40.55\00:08:42.28
Okay. Yeah.
00:08:42.32\00:08:43.65
And in that process,
the blood pressure goes up.
00:08:43.69\00:08:47.39
So just getting rid of salt
can bring down blood pressure.
00:08:47.42\00:08:49.69
Do you think that the
increased sodium intake
00:08:49.72\00:08:52.36
in much of our
population here today
00:08:52.39\00:08:54.46
is due to the
change in the way we live?
00:08:54.50\00:08:56.16
A lot of people don't have time
to make their own food at home,
00:08:56.20\00:08:58.73
so they're eating
prepackaged meals,
00:08:58.77\00:09:01.14
they're eating fast
food, and that kind of thing
00:09:01.17\00:09:02.60
which has a lot
more sodium in it, right?
00:09:02.64\00:09:04.01
Yes, lots of processed foods,
and we change the way we eat,
00:09:04.04\00:09:08.08
so we eat lots of
processed, we're eating...
00:09:08.11\00:09:09.91
You know, people still
eat lots of animal products,
00:09:09.94\00:09:12.55
and that contributes.
00:09:12.58\00:09:14.62
Another thing that contributes
00:09:14.65\00:09:15.98
is we don't move around as much,
00:09:16.02\00:09:17.62
we carry extra weight.
00:09:17.65\00:09:18.99
So sometimes just moving around
00:09:19.02\00:09:20.86
and exercising,
00:09:20.89\00:09:22.22
that will lower
the blood pressure.
00:09:22.26\00:09:24.79
So those are two things.
00:09:24.83\00:09:26.39
Third is a lot of
people are under stress,
00:09:26.43\00:09:29.16
they're stressed all the time.
00:09:29.20\00:09:30.77
So people can lower their stress
00:09:30.80\00:09:32.60
so you want to in
high blood pressure,
00:09:32.63\00:09:34.07
you want to find the reason why.
00:09:34.10\00:09:36.04
Some medical
conditions can cause it.
00:09:36.07\00:09:37.94
One of the most
common is sleep apnea.
00:09:37.97\00:09:40.31
That can cause
high blood pressure.
00:09:40.34\00:09:41.68
You might be...
00:09:41.71\00:09:43.04
You're taking another medication
00:09:43.08\00:09:44.41
that causes the
blood pressure to go high.
00:09:44.45\00:09:45.85
You might be
having pain in your life.
00:09:45.88\00:09:48.05
Pain will cause the
blood pressure to go high.
00:09:48.08\00:09:50.85
You know, certain
fibroid abnormalities,
00:09:50.89\00:09:52.65
hormonal things can cause
the blood pressure to go high.
00:09:52.69\00:09:55.36
Right. Sometimes,
it's your nutrition.
00:09:55.39\00:09:57.29
You don't eat
enough good things,
00:09:57.33\00:09:58.79
and the arteries
become stiff and viscous.
00:09:58.83\00:10:01.76
So sometimes you're eating
00:10:01.80\00:10:03.13
the wrong type of healthy foods,
00:10:03.16\00:10:04.83
that can make it go high.
00:10:04.87\00:10:06.27
Well, what's some of the
wrong type of healthy food?
00:10:06.30\00:10:08.10
Some people say, "I'm
eating this healthy thing,
00:10:08.14\00:10:10.41
but it's processed."
00:10:10.44\00:10:11.81
Okay, now I was an example
00:10:11.84\00:10:13.31
that I used to eat corn
chips too much and chips.
00:10:13.34\00:10:15.54
Sure. Yeah.
00:10:15.58\00:10:16.91
You know, and chips
themselves are processed,
00:10:16.95\00:10:18.28
and they had sodium
and lots of chemicals in it
00:10:18.31\00:10:21.22
that was messing
up with my metabolism.
00:10:21.25\00:10:23.85
So the first thing
in high blood pressure
00:10:23.89\00:10:25.69
is understanding the reason why,
00:10:25.72\00:10:28.02
and working on those things,
00:10:28.06\00:10:29.72
understanding whether
they are at high risk.
00:10:29.76\00:10:31.93
If they are at low
risk, then we have some time.
00:10:31.96\00:10:34.73
Understanding the risk,
but if they are at high risk
00:10:34.76\00:10:37.17
and we have to start
a medicine right away,
00:10:37.20\00:10:39.30
there's many different
ones we can use and monitor.
00:10:39.33\00:10:42.20
One of the ones I
like to use in the office
00:10:42.24\00:10:44.21
is called amlodipine or norvasc.
00:10:44.24\00:10:46.98
All that one really does
is dilate the blood vessels.
00:10:47.01\00:10:49.54
It doesn't fix the
problem, but it dilates them.
00:10:49.58\00:10:52.45
It doesn't have a
lot of side effects,
00:10:52.48\00:10:54.55
but a lot of doctors,
00:10:54.58\00:10:55.92
they choose the
blood pressure medicine
00:10:55.95\00:10:57.32
based on if there's
other things going on.
00:10:57.35\00:10:59.82
Let's say you're stressed out
00:10:59.85\00:11:01.19
and that's making
your blood pressure go high
00:11:01.22\00:11:03.02
or you've had heart
disease, beta blockers,
00:11:03.06\00:11:05.09
that block's
adrenaline, that's very helpful.
00:11:05.13\00:11:07.06
Okay.
00:11:07.10\00:11:08.43
Some of them, if you
take too much salt in,
00:11:08.46\00:11:09.80
which most people do,
00:11:09.83\00:11:11.17
there's some that
take salt out of the body.
00:11:11.20\00:11:12.53
They're called diuretics.
00:11:12.57\00:11:14.37
They take the salt
out of the body for you.
00:11:14.40\00:11:16.54
But it doesn't make so
much sense to give a diuretic
00:11:16.57\00:11:18.77
and person eats
whatever they want.
00:11:18.81\00:11:20.14
Right.
00:11:20.18\00:11:21.51
You know, that's like
banging your head on the wall,
00:11:21.54\00:11:22.88
"My head hurts, my head..."
00:11:22.91\00:11:24.25
Well, take some pain pills.
00:11:24.28\00:11:25.61
Yeah. Right.
00:11:25.65\00:11:26.98
So to answer this question,
00:11:27.02\00:11:28.35
if we can
understand the reason why,
00:11:28.38\00:11:30.99
work on that and
treat some natural ways.
00:11:31.02\00:11:33.12
Now we're talking about
nutrition is a way to treat,
00:11:33.15\00:11:35.62
how would
nutrition treat this, okay?
00:11:35.66\00:11:38.03
Yeah. Two ways.
00:11:38.06\00:11:39.39
First, foods to avoid
that cause high blood pressure.
00:11:39.43\00:11:42.76
Fatty foods
paralyze the arterial walls,
00:11:42.80\00:11:45.20
so you want to try to
move fat out of your diet,
00:11:45.23\00:11:47.97
and processed foods, salt...
00:11:48.00\00:11:49.34
Okay.
00:11:49.37\00:11:50.71
Give some examples,
what kind of fatty foods
00:11:50.74\00:11:52.07
are we talking about?
00:11:52.11\00:11:53.44
Oh, meat, eggs, chicken,
cheese, fish, ice cream,
00:11:53.48\00:11:55.38
donuts, cookies, you
know, those type of things.
00:11:55.41\00:11:57.08
All right.
00:11:57.11\00:11:58.45
Some tough one's
right there, cookies.
00:11:58.48\00:11:59.81
They have some
fat in them. Yeah.
00:11:59.85\00:12:01.52
Those type of foods,
also the salty foods.
00:12:01.55\00:12:05.05
Anything that's in a
package has salt in it.
00:12:05.09\00:12:07.66
For instance,
people don't realize it
00:12:07.69\00:12:09.39
when you get a chicken,
00:12:09.42\00:12:10.76
not only you get the
salt that's in the chicken
00:12:10.79\00:12:12.26
but they inject
salt in the chicken
00:12:12.29\00:12:14.16
so the chicken weighs more,
00:12:14.20\00:12:15.73
so they can sell
it for more money.
00:12:15.76\00:12:17.93
And it's processed, to
keep things from swelling,
00:12:17.97\00:12:20.50
they put salt in it.
00:12:20.54\00:12:23.10
So you get way too much
sodium in meat products,
00:12:23.14\00:12:24.47
you get...
00:12:24.51\00:12:25.84
Any package you look
on it, and it says sodium.
00:12:25.87\00:12:27.84
So really, you want to
get down to about a quarter
00:12:27.88\00:12:30.21
of a tea spoon
of total salt a day.
00:12:30.25\00:12:32.31
That's not much...
00:12:32.35\00:12:33.68
A quarter of a teaspoon.
Yeah, that's not much at all.
00:12:33.72\00:12:35.05
Yeah, that's not...
00:12:35.08\00:12:36.42
I was going to say
I'll probably have much
00:12:36.45\00:12:37.79
in my oatmeal, so...
00:12:37.82\00:12:39.15
Yeah, you do not
need much sodium at all.
00:12:39.19\00:12:40.52
And as you can do that,
00:12:40.56\00:12:41.89
you know, that's going to
bring down your blood pressure.
00:12:41.92\00:12:43.26
So one of the things,
nutrition, for blood pressure,
00:12:43.29\00:12:44.76
is avoid the things
that cause blood pressure.
00:12:44.79\00:12:47.30
And there's some foods
00:12:47.33\00:12:48.66
that can help
the blood pressure.
00:12:48.70\00:12:50.20
One of them is
called the greens,
00:12:50.23\00:12:52.50
dark leafy greens have a
chemical called nitrates,
00:12:52.53\00:12:55.77
they turn into nitricoxide,
00:12:55.80\00:12:57.41
and that makes the
arteries get bigger.
00:12:57.44\00:12:59.84
And studies done,
00:12:59.87\00:13:01.21
something like flax can
lower the blood pressure.
00:13:01.24\00:13:03.51
So there's two... Flax seeds?
00:13:03.55\00:13:04.88
Yeah. Everyone's
heard about beets.
00:13:04.91\00:13:06.75
Beets are rich in nitrates.
00:13:06.78\00:13:08.38
We've now done
the study on beets,
00:13:08.42\00:13:09.95
compared it with the medicine,
00:13:09.98\00:13:11.32
that lowers
blood pressures well.
00:13:11.35\00:13:13.96
So eating more plants,
especially beets and greens,
00:13:13.99\00:13:17.19
tend to lower blood pressure.
00:13:17.23\00:13:18.56
There's some
teas that will lower.
00:13:18.59\00:13:20.43
Hibiscus tea has been studied,
00:13:20.46\00:13:22.06
that helps lower
the blood pressure.
00:13:22.10\00:13:24.73
There's some other
substances like watermelon
00:13:24.77\00:13:26.87
that might lower blood pressure.
00:13:26.90\00:13:28.84
But you got to eat
way too much watermelon
00:13:28.87\00:13:30.91
to get any advantage.
00:13:30.94\00:13:32.27
You can't eat a whole...
00:13:32.31\00:13:33.64
Two water
watermelons in a day to do that.
00:13:33.68\00:13:35.01
So watermelon's
probably not reasonable.
00:13:35.04\00:13:36.64
But I tell my people
to eat lots of grains,
00:13:36.68\00:13:39.35
throw some beets in there,
00:13:39.38\00:13:41.12
maybe some healthy
teas with hibiscus in it,
00:13:41.15\00:13:43.89
and flax with
your oatmeal every day.
00:13:43.92\00:13:46.22
This is a place to start
00:13:46.25\00:13:48.02
along with
eliminating foods that cause it.
00:13:48.06\00:13:50.39
Get on an exercise program,
00:13:50.43\00:13:52.13
and then you might only
have to take your medicine
00:13:52.16\00:13:53.96
a short period of time
00:13:54.00\00:13:55.53
until you can get at
the cause of disease.
00:13:55.56\00:13:57.23
Now some people,
00:13:57.27\00:13:58.60
like we've talked about earlier,
00:13:58.63\00:13:59.97
have genetic
disease, Nick, remember?
00:14:00.00\00:14:02.50
They do all the
lifestyle changes,
00:14:02.54\00:14:04.31
they do everything they can,
00:14:04.34\00:14:05.67
and they still
have just the bad genes
00:14:05.71\00:14:07.28
that cause blood pressure.
00:14:07.31\00:14:08.64
And for those people,
00:14:08.68\00:14:10.01
the risk of medicine
might be worth the benefit
00:14:10.05\00:14:12.85
'cause high blood pressure
00:14:12.88\00:14:14.22
can lead to a
lot of other damage
00:14:14.25\00:14:15.58
to blood vessels
all over the body,
00:14:15.62\00:14:17.49
then the heart, and
the kidneys, and the brain.
00:14:17.52\00:14:20.16
So lowering blood pressure
00:14:20.19\00:14:21.52
is a very important thing to do.
00:14:21.56\00:14:23.16
How to do it? That's
what the debate's at.
00:14:23.19\00:14:25.29
Right. Right.
00:14:25.33\00:14:26.66
Well, hey, we got to
take a break, Dr. Marcum.
00:14:26.70\00:14:28.13
But, viewers, stay with
us 'cause after the break,
00:14:28.16\00:14:30.70
I'm gonna put Dr.
Marcum on spot here.
00:14:30.73\00:14:32.07
He's gonna share his
favorite cardiovascular health
00:14:32.10\00:14:35.07
promoting dish with us,
00:14:35.10\00:14:36.44
so we'll be back
in just a moment,
00:14:36.47\00:14:37.81
and stay with us.
00:14:37.84\00:14:39.17