Have you ever felt completely frustrated 00:00:35.19\00:00:37.44 after leaving your doctor's office... 00:00:37.47\00:00:38.69 and he explained to you that you had a occlusion in your 00:00:38.73\00:00:41.53 left anterior descending artery, 00:00:41.54\00:00:43.96 and you really had no idea exactly what he meant? 00:00:43.99\00:00:46.63 Well today, we have Dr. Neil Nedley with us on 00:00:46.66\00:00:49.02 "Wonderfully Made" 00:00:49.05\00:00:50.03 Thank you Rise, I'm very glad to be here. 00:00:50.06\00:00:52.67 That occlusion is actually caused by a condition 00:00:52.70\00:00:56.83 called "atherosclerosis" 00:00:56.86\00:00:58.95 Hmmm... big word! 00:00:58.98\00:01:00.37 Yeah, and it actually comes from 2 Greek words... 00:01:00.40\00:01:02.98 "athero" means mushy, 00:01:03.01\00:01:05.34 and "sclerosis" means hard... 00:01:05.37\00:01:07.97 So literally, the word means the mushy, hard disease 00:01:08.00\00:01:12.43 That's actually a pretty good description because 00:01:12.46\00:01:15.08 the mushiness comes from the cholesterol and the fat 00:01:15.11\00:01:18.17 on account of those mushy foods... 00:01:18.18\00:01:20.44 And then it gets into the arteries, and then calcium comes 00:01:20.45\00:01:24.37 and hardens it up, and you start getting these occlusions 00:01:24.40\00:01:28.24 in your arteries, and it can occur in any artery in the body 00:01:28.27\00:01:31.17 Wow... but the left anterior descending artery just happens 00:01:31.20\00:01:35.60 to be one more sensitive to this? 00:01:35.61\00:01:37.45 It's more common... There are 3 main arteries 00:01:37.48\00:01:40.46 that supply the heart, the left anterior descending, 00:01:40.49\00:01:43.20 the left circumflex, and the right coronary. 00:01:43.23\00:01:45.40 And the left anterior descending tends to be the one that's 00:01:45.43\00:01:48.96 a little more involved, but it can involve 00:01:48.99\00:01:50.65 any of those arteries. 00:01:50.66\00:01:52.03 And, it can even involve the left main... 00:01:52.06\00:01:54.00 And if it involves the left main that's where the 2 main arteries 00:01:54.03\00:01:56.43 come from, and that can produce sudden death 00:01:56.46\00:01:59.57 when that occludes. 00:01:59.60\00:02:00.62 So let's talk about this atherosclerosis. 00:02:00.63\00:02:03.27 Yeah, atherosclerosis unfortunately, it can affect 00:02:03.30\00:02:07.39 the arteries going into the brain as well. 00:02:07.42\00:02:09.31 In fact, even if your arteries aren't totally occluded in 00:02:09.34\00:02:12.91 your brain, and if you have some atherosclerosis there, 00:02:12.94\00:02:16.12 it's going to decrease your thinking ability. Hmm 00:02:16.15\00:02:18.37 It's going to decrease your memory. 00:02:18.40\00:02:19.96 It can cause a problem in the kidneys, and when it 00:02:19.97\00:02:23.24 affects the kidney arteries, can cause kidney failure. 00:02:23.27\00:02:25.58 It can cause problems in the legs with decreased circulation 00:02:25.61\00:02:28.95 and pain when you walk. 00:02:28.98\00:02:30.38 It can even cause amputations because the arteries can 00:02:30.41\00:02:33.46 close-off... The legs can't live anymore 00:02:33.49\00:02:35.64 and they have to be amputated. 00:02:35.67\00:02:37.35 And so, it's a common problem in America today. 00:02:37.38\00:02:40.01 Atherosclerosis, virtually everybody... 00:02:40.04\00:02:43.96 I shouldn't say "everybody" but the average American 00:02:43.99\00:02:48.34 by the time they're 40 years of age, already has significant 00:02:48.37\00:02:52.91 fatty cholesterol buildup in the arteries. 00:02:52.94\00:02:55.82 Yeah, and I've heard that it's actually occurring 00:02:55.85\00:02:57.90 at a younger age now in our society. 00:02:57.93\00:03:00.03 It is occurring at a younger age and it has to do with 00:03:00.06\00:03:02.48 the diet and lifestyle of Americans. Hmmm 00:03:02.51\00:03:04.91 We have a graphic actually that shows the 00:03:04.94\00:03:07.10 atherosclerotic plaque... 00:03:07.11\00:03:08.71 And that plaque can be instructive... 00:03:08.74\00:03:11.58 You can see the white stuff there... that's the cholesterol 00:03:11.61\00:03:14.28 That's the mushy stuff that comes in... 00:03:14.31\00:03:16.50 gets into the wall of the artery 00:03:16.53\00:03:20.25 And then you can see, there's a smooth muscle layer above that 00:03:20.28\00:03:24.72 And then above that, is the cap. 00:03:24.75\00:03:28.26 And that fibrous cap can ulcerate, 00:03:28.27\00:03:31.41 and when it does ulcerate, that's when you get a 00:03:31.44\00:03:34.48 MASSIVE occlusion all of a sudden 00:03:34.51\00:03:36.64 And a lot of people think, you know, this goes from 00:03:36.67\00:03:39.81 40% block to 60%, to 80%, to 100%... 00:03:39.82\00:03:43.95 It doesn't have to be the case, that artery could be only 00:03:43.98\00:03:46.71 20 or 30% blocked, and if you ulcerate that cap, 00:03:46.74\00:03:49.82 you can then get a total occlusion at that point. 00:03:49.85\00:03:52.37 And so, we'd like to try to prevent those ulcerations 00:03:52.40\00:03:57.62 and, of course, even prevent the cholesterol from coming 00:03:57.65\00:04:00.14 in to begin with... Yeah 00:04:00.17\00:04:01.22 Preventing the ulceration means not getting inflammation. 00:04:01.25\00:04:04.70 So this is why infections, even bad dental care where you 00:04:04.71\00:04:10.38 can have infections in your teeth increase 00:04:10.41\00:04:12.44 the risk of heart disease. Oh really? 00:04:12.47\00:04:15.06 Arthritis, if it's inflammatory arthritis can increase 00:04:15.09\00:04:18.37 the risk of heart disease because you can ulcerate that 00:04:18.40\00:04:21.58 fibrous cap due to the inflammation and occlude 00:04:21.61\00:04:24.60 the artery. 00:04:24.63\00:04:26.48 So an inflammation, even though it's in a separate 00:04:26.51\00:04:28.59 part of your body, affects maybe an artery in your heart 00:04:28.62\00:04:32.85 because of certain things that are traveling through the blood? 00:04:32.88\00:04:36.22 Exactly... Yeah, that inflammation can actually 00:04:36.25\00:04:38.92 travel through the blood stream. 00:04:38.95\00:04:40.03 We can actually measure it through a test called 00:04:40.06\00:04:42.26 the C-reactive protein 00:04:42.29\00:04:44.07 And when that C-reactive protein goes up, 00:04:44.10\00:04:46.40 you're at an increased risk. 00:04:46.43\00:04:48.41 So, atherosclerosis is more than just preventing the cholesterol 00:04:48.44\00:04:51.84 We want to prevent the inflammation as well. 00:04:52.45\00:04:54.16 But let's get to the basic root of it first 00:04:54.19\00:04:57.85 ...and that is cholesterol. 00:04:57.88\00:04:59.31 Yeah, where does all that mushy stuff come from? 00:04:59.34\00:05:01.04 Yeah, where does that mushy stuff come from? 00:05:01.07\00:05:03.03 We do have a graphic on that too. 00:05:03.06\00:05:04.84 And a lot of people are surprised to see that chicken 00:05:04.85\00:05:08.79 has cholesterol in it. 00:05:08.82\00:05:10.48 Chicken is part of the animal kingdom, 00:05:10.51\00:05:12.78 and any animal has cholesterol in it, 00:05:12.81\00:05:15.29 but notice, even if the fat and the skin are taken off, 00:05:15.32\00:05:19.37 it has almost the same amount of cholesterol as pork 00:05:19.40\00:05:22.10 and as beef 00:05:22.13\00:05:23.58 And what isn't shown on that graphic, is if you have the 00:05:23.61\00:05:26.31 chicken breast with the skin and the fat there, 00:05:26.34\00:05:28.59 that's 82 mg. 00:05:28.62\00:05:31.09 And then you have seafood, you saw oyster there, and shrimp 00:05:31.12\00:05:33.83 even higher yet. 00:05:33.86\00:05:35.06 There's shrimp there 165 mg 00:05:35.09\00:05:37.77 And then when you get to the organ meats, 00:05:37.78\00:05:39.40 kidney, liver... huge amounts of cholesterol 00:05:39.43\00:05:43.33 Caviar... 500 mg of cholesterol 00:05:43.36\00:05:46.85 And Rise, if you ever see anyone feasting on beef brains, 00:05:46.88\00:05:49.98 you have to wonder about their intentions. Absolutely! 00:05:50.01\00:05:52.47 1697 mg of cholesterol... just extremely loaded 00:05:52.50\00:05:57.96 with cholesterol. 00:05:57.99\00:05:59.32 Dairy is also going to have some cholesterol. 00:05:59.35\00:06:01.69 Of course, that graphic isn't a complete representation 00:06:01.72\00:06:06.79 of the animal foods. 00:06:06.82\00:06:08.27 But, dairy has cholesterol in it because 00:06:08.30\00:06:10.69 it comes from an animal. 00:06:10.70\00:06:11.81 Eggs... the egg yolk is going to have about 00:06:11.84\00:06:13.60 200 mg of cholesterol in it. 00:06:13.63\00:06:15.82 And the more cholesterol we get in our diet, 00:06:15.85\00:06:18.52 the greater the chance that it's going to get 00:06:18.55\00:06:20.77 into the arteries, and particularly if it's 00:06:20.80\00:06:24.21 oxidized cholesterol. 00:06:24.24\00:06:25.99 So a chicken isn't necessarily eating cholesterol, 00:06:26.02\00:06:29.22 they're just producing their own. 00:06:29.25\00:06:30.89 That's right... they have livers, 00:06:30.90\00:06:32.65 and anyone in the animal kingdom that has a liver 00:06:32.68\00:06:35.15 is going to produce cholesterol. 00:06:35.18\00:06:36.61 Human beings produce cholesterol. 00:06:36.62\00:06:38.33 We don't need any cholesterol in our diet. 00:06:38.36\00:06:40.38 We actually utilize cholesterol for some useful substances 00:06:40.41\00:06:43.79 We make our hormones from cholesterol. 00:06:43.82\00:06:45.93 We don't need any in our diet because our liver produces 00:06:45.96\00:06:48.33 all that we need. 00:06:48.36\00:06:49.61 And so, a chicken's liver is going to produce quite a bit. 00:06:49.64\00:06:52.00 So will a cow's liver, even though a cow may be a 00:06:52.03\00:06:54.19 vegetarian... he's going to have cholesterol in the 00:06:54.22\00:06:58.42 muscle and in virtually any part of his body, 00:06:58.45\00:07:01.18 and the organ meats and the brains are going to have it 00:07:01.21\00:07:02.95 even more. 00:07:02.98\00:07:05.01 So, we DO recommend a low cholesterol diet 00:07:05.04\00:07:09.05 to prevent this from happening. 00:07:09.09\00:07:10.36 If we don't get the cholesterol in the foods, 00:07:10.39\00:07:12.67 we're not going to get it into the arteries near as easily 00:07:12.70\00:07:18.67 And the thing about the food is the oxidized cholesterol. 00:07:18.70\00:07:21.46 A lot of people say, well your liver produces cholesterol 00:07:21.49\00:07:24.37 and in order to live, you need to have your liver produce 00:07:24.40\00:07:28.14 cholesterol, so why are we so 00:07:28.17\00:07:30.15 concerned about cholesterol in the diet. 00:07:30.18\00:07:31.91 In fact, some skeptics have even looked at this fact... 00:07:31.94\00:07:35.87 The human beings' liver produces 5 times as much cholesterol 00:07:35.90\00:07:39.78 as what the average American eats every day. 00:07:39.81\00:07:41.72 And so, why is eating cholesterol so important? 00:07:41.75\00:07:45.79 Well, the reason for it is, what we eat can be 00:07:45.80\00:07:48.63 much more heavily oxidized than what we make. 00:07:48.66\00:07:51.61 Why is that? 00:07:51.64\00:07:52.65 Because it's exposed to the air. Oh! 00:07:52.68\00:07:55.80 And when we're producing cholesterol in the liver, 00:07:55.83\00:07:59.49 it's not exposed to the air, 00:07:59.52\00:08:01.35 and so it doesn't get as oxidized. 00:08:01.36\00:08:03.54 So the more we have our foods out there in the air, 00:08:03.57\00:08:07.07 so to speak, the more we mix it up, and blend it up, 00:08:07.10\00:08:10.63 the greater chance that cholesterol is going to 00:08:10.66\00:08:13.57 become oxidized, and it's the oxidized cholesterol that's 00:08:13.58\00:08:16.55 particularly harmful. 00:08:16.58\00:08:18.32 Dr. Bruce Taylor did a nice study in New York... 00:08:18.35\00:08:21.57 actually feeding nonoxidized cholesterol 00:08:21.60\00:08:24.49 to rabbits and monkeys... 00:08:24.52\00:08:25.49 and none of them developed atherosclerosis. Interesting 00:08:25.53\00:08:29.12 But when he fed foods that had cholesterol in it, 00:08:29.15\00:08:33.70 they developed atherosclerosis at a very rapid rate, 00:08:33.73\00:08:37.30 particularly if it was more oxidized. 00:08:37.33\00:08:39.08 So you can pretty much assume that the majority of food 00:08:39.11\00:08:41.31 that you're eating that has cholesterol in it 00:08:41.34\00:08:43.16 is going to be oxidized... That's right 00:08:43.19\00:08:45.21 One exception to that would be human mother's milk... Oh 00:08:45.24\00:08:50.19 Human breast milk has a lot of cholesterol in it 00:08:50.22\00:08:53.35 and actually can have more cholesterol the way some 00:08:53.38\00:08:56.07 mothers eat... even more so than cow's milk. 00:08:56.08\00:08:59.08 But cow's milk is going to produce those fatty streaks 00:08:59.11\00:09:02.66 in the infants... Human breast milk will not. 00:09:02.69\00:09:05.55 Even though it's higher in cholesterol... 00:09:05.58\00:09:07.42 the difference? 00:09:07.45\00:09:08.47 The infant is getting it directly from 00:09:08.50\00:09:10.82 the mother's nipple... not exposed to the air 00:09:10.85\00:09:14.37 And so the best way for you to drink your milk, 00:09:14.40\00:09:17.07 would be to go down to the barn and get it straight. 00:09:17.10\00:09:20.16 No thank you! 00:09:20.19\00:09:22.10 We wouldn't recommend that either for obvious reasons. 00:09:22.13\00:09:25.47 But, it is something a lot of people don't think about 00:09:25.50\00:09:29.58 when they're measuring cholesterol levels in foods. 00:09:29.61\00:09:33.11 Dr. Bruce Taylor then went the next step... 00:09:33.14\00:09:35.66 Once he found out oxidized cholesterol causes 00:09:35.69\00:09:39.09 atherosclerosis, let's actually see what happens with 00:09:39.12\00:09:43.20 particular foods. 00:09:43.23\00:09:44.33 So within 24 hours of a rabbit or a monkey eating the food, 00:09:44.36\00:09:49.86 he would then measure the dead cells in the blood vessels, 00:09:49.89\00:09:53.46 in the aorta as the major blood vessel in the body. 00:09:53.47\00:09:57.28 And, he was able to extrapolate from that very accurately 00:09:57.31\00:10:01.56 which foods have the most oxidized cholesterol. 00:10:01.59\00:10:04.52 Any guesses Rise? 00:10:04.55\00:10:06.98 Oh... I'd say something maybe like cheesecake? 00:10:07.01\00:10:10.10 Cheesecake would be a high source... yes 00:10:10.13\00:10:14.13 Actually, the highest was custards, and cheesecake 00:10:14.16\00:10:17.86 can be a form of custard. 00:10:17.89\00:10:19.25 Custard is where you have milk, sugar, eggs mixed up together 00:10:19.28\00:10:24.67 And the most famous custard in America is actually ice cream. 00:10:24.70\00:10:28.29 So that's the deadly trio then, ... huh? Milk, eggs and sugar 00:10:28.32\00:10:31.65 Yeah, when you put sugar in with the cholesterol, 00:10:31.68\00:10:33.84 you're going to get a much more oxidized variety 00:10:33.87\00:10:36.23 of the cholesterol. 00:10:36.26\00:10:37.25 Ice cream... Ouch! 00:10:37.28\00:10:39.27 That is one of America's favorite foods. 00:10:39.30\00:10:41.47 One of America's favorite foods... Yeah 00:10:41.50\00:10:43.47 But fortunately, there are alternatives now. 00:10:43.50\00:10:45.07 In fact, just about any grocery store you go into, 00:10:45.10\00:10:47.29 you can actually find ice cream that has no cholesterol in it. 00:10:47.32\00:10:50.62 If it doesn't have cholesterol, you don't have to worry about 00:10:50.65\00:10:52.80 the oxidized cholesterol... 00:10:52.81\00:10:54.21 Like a sorbet, or a nondairy... 00:10:54.24\00:10:56.62 Sorbet, or like they have Rice Dream ice creams 00:10:56.65\00:10:59.80 and all sorts of different varieties of ice creams. 00:10:59.83\00:11:03.32 And it's good to look around in your store, 00:11:03.33\00:11:06.03 particularly if anything has cholesterol in it, 00:11:06.06\00:11:09.44 you certainly don't want to have the sugar with it 00:11:09.47\00:11:11.55 because that's going to help deposit it right into 00:11:11.58\00:11:14.84 the arteries themselves. 00:11:14.87\00:11:16.76 The second highest on the list was actually 00:11:16.79\00:11:20.13 Aunt Jemima's Pancake Mix... Really? 00:11:20.16\00:11:23.44 You wouldn't think of pancake to be high in cholesterol. 00:11:23.47\00:11:27.07 Pancakes, of course, come from eggs, but the pancake mix 00:11:27.10\00:11:31.18 is powdered eggs... 00:11:31.21\00:11:32.30 And so, if you're powdering up those eggs, 00:11:32.33\00:11:35.11 you're producing a pretty heavy variety of 00:11:35.14\00:11:37.93 oxidized cholesterol there, 00:11:37.96\00:11:39.37 and it's going to get into the arteries. 00:11:39.38\00:11:40.50 The third most damaging was parmesan cheese 00:11:40.53\00:11:42.73 ...the powdered cheese 00:11:42.76\00:11:44.36 And that was as damaging as lard to those arteries... Wow 00:11:44.37\00:11:49.89 And so, it is important to not only recognize 00:11:49.92\00:11:53.22 the cholesterol in goods, but how it's being prepared 00:11:53.25\00:11:56.24 and what damage that can do. 00:11:56.27\00:11:58.66 So powered milk then would have a similar effect 00:11:58.69\00:12:00.79 because it's... That's right powdered milk 00:12:00.82\00:12:02.92 would have a similar effect, exactly 00:12:02.95\00:12:05.57 Interesting. 00:12:05.60\00:12:07.20 So that is a major component. 00:12:07.23\00:12:10.49 In fact, Dr. Stamler indicated... 00:12:10.52\00:12:13.25 In fact, if you go to your doctor, and you find out 00:12:13.28\00:12:16.45 your cholesterol level... 00:12:16.48\00:12:19.07 In fact, we have patients that I see, 00:12:19.10\00:12:20.60 their cholesterol level is 160, and their doctor 00:12:20.64\00:12:22.68 has told them... 00:12:22.71\00:12:23.74 You don't have to worry about heart disease at all... 00:12:23.75\00:12:25.68 your cholesterol is less than 200 and not a problem. 00:12:25.71\00:12:28.76 Well first of all, 1 out of every 5 heart attacks 00:12:28.79\00:12:31.47 is in someone with a cholesterol less than 200. 00:12:31.50\00:12:34.50 But the other factor the doctor hasn't necessarily 00:12:34.53\00:12:37.30 known about is the study by Jeremiah Stamler showing 00:12:37.33\00:12:41.70 that cholesterol in the diet is an independent 00:12:41.73\00:12:44.87 risk factor for heart disease apart 00:12:44.90\00:12:47.16 from what it is in your blood... Interesting 00:12:47.19\00:12:50.02 So, even though the cholesterol is 160, 00:12:50.05\00:12:52.16 the person may think, "Well, I can eat all sorts of 00:12:52.19\00:12:54.07 cholesterol, I'm going to be fine. " 00:12:54.10\00:12:56.15 But they're not necessarily measuring the cholesterol 00:12:56.18\00:12:58.76 that's deposited... That's right 00:12:58.79\00:13:00.39 And they're not measuring what's being taken in 00:13:00.42\00:13:02.89 And so what you take in, is an independent risk factor 00:13:02.92\00:13:06.27 for heart disease over what your serum cholesterol is... I see 00:13:06.30\00:13:09.90 Now that doesn't mean the serum cholesterol is not important 00:13:09.93\00:13:12.15 We still look at that too, and we try to get that down 00:13:12.16\00:13:14.25 We actually can train our livers to produce less cholesterol 00:13:14.28\00:13:17.65 which can help bring it down significantly 00:13:17.66\00:13:19.32 Now how would you do that? 00:13:19.35\00:13:20.53 Well, you would do that by actually eating foods higher 00:13:20.56\00:13:23.15 in polyunsaturated fat. 00:13:23.18\00:13:25.27 Now if I were to have a vat of polyunsaturated fat on this side 00:13:25.28\00:13:31.56 and another vat of saturated fat on this side, 00:13:31.59\00:13:34.42 do you know how you would be able to tell the difference 00:13:34.45\00:13:36.90 with a clear vat? 00:13:36.93\00:13:38.32 I think, in one I would be able to look through, 00:13:38.33\00:13:39.83 and the other one, I wouldn't. That's right 00:13:39.86\00:13:41.97 Because one would be liquid at room temperature, 00:13:42.00\00:13:45.26 and the other one solid. 00:13:45.29\00:13:46.64 Saturated fat is solid fat... 00:13:46.67\00:13:48.57 And the more solid the fat, the more your liver 00:13:48.60\00:13:52.44 churns out cholesterol. 00:13:52.47\00:13:54.51 In fact, the solid fat will churn out twice as much 00:13:54.54\00:13:58.41 cholesterol as the liquid fat will decrease the 00:13:58.44\00:14:02.52 cholesterol production. 00:14:02.55\00:14:04.10 Liquid fat actually being polyunsaturated fat, 00:14:04.13\00:14:06.51 actually will slow down the liver's 00:14:06.54\00:14:08.19 production of cholesterol. 00:14:08.22\00:14:09.88 And so, we also have a graphic of the P/S ratio... 00:14:09.91\00:14:13.98 Now, before we get into that graphic, I should mention... 00:14:14.01\00:14:17.25 that a P/S ratio less than 2 is going to raise your 00:14:17.28\00:14:21.77 liver's production of cholesterol significantly. 00:14:21.80\00:14:24.48 By P/S ratio, you're simply saying... 00:14:24.51\00:14:26.38 the polyunsaturated versus the saturated... Yes, very good 00:14:26.41\00:14:30.56 And notice there... cheese, beef, butter - very low values 00:14:30.59\00:14:35.68 That means very low in polyunsaturated, 00:14:35.71\00:14:38.45 very high in saturated... 00:14:38.46\00:14:39.91 and those foods will significantly churn out 00:14:39.94\00:14:42.67 cholesterol in the liver, 00:14:42.70\00:14:45.66 even though they may not have much cholesterol in them per se. 00:14:45.69\00:14:49.81 Chicken and turkey... that's why the world is 00:14:49.84\00:14:52.09 recommending chicken and turkey... 00:14:52.13\00:14:53.58 Because it has a better P/S ratio than butter and beef 00:14:53.62\00:14:57.80 But, is it less than 2 or greater than 2... 00:14:57.83\00:15:00.74 those values for chicken and turkey? Much less 00:15:00.77\00:15:03.69 Much less, so it's still going to produce cholesterol. 00:15:03.72\00:15:06.43 Now the liver is still going to churn out a higher 00:15:06.46\00:15:08.83 amount of cholesterol. 00:15:08.84\00:15:10.21 Fish is the food that's the most closely to the two, 00:15:10.22\00:15:14.27 but fish is still going to raise cholesterol levels. 00:15:14.30\00:15:17.22 The average American is not aware of that. 00:15:17.25\00:15:19.08 In fact, that's been shown repeatedly that if you add 00:15:19.11\00:15:21.95 fish to a vegetarian diet, 00:15:21.98\00:15:23.48 you're going to increase that person's cholesterol level. 00:15:23.49\00:15:26.34 Then you take... some plant foods are not very 00:15:26.37\00:15:30.18 high in P/S ratios. 00:15:30.21\00:15:33.04 Pistachios and Brazil nuts are going to raise 00:15:33.07\00:15:35.20 your cholesterol level; not near as much as 00:15:35.23\00:15:38.48 chicken and turkey, but they will raise it some... 00:15:38.51\00:15:40.44 But notice, almonds, pecans, hickories, walnuts, 00:15:40.47\00:15:43.79 those nuts are all greater than 2, and they will 00:15:43.82\00:15:46.81 significantly lower the cholesterol levels. 00:15:46.84\00:15:48.93 In fact, walnuts have been shown to dramatically 00:15:48.94\00:15:52.09 lower cholesterol levels when they're added to a healthy diet. 00:15:52.12\00:15:54.39 And yet, typically, when you talk to someone 00:15:55.40\00:15:57.24 who's trying to lower their cholesterol, 00:15:57.27\00:15:58.45 they AVOID... or they think nuts are 00:15:58.48\00:16:00.46 bad for them because they're fatty. 00:16:00.49\00:16:02.67 Yeah, that's true, and that is kind of part of the old myth 00:16:02.70\00:16:06.38 that was around... that anything that was high in 00:16:06.41\00:16:08.54 fat... was bad Um hm 00:16:08.57\00:16:10.94 Yeah, to some extent that's true... 00:16:10.97\00:16:13.71 but if it's very high in fat, it can add to obesity... Right 00:16:13.74\00:16:16.29 But if you're not obese, and you are eating smaller amounts 00:16:16.32\00:16:21.76 of healthy fat, it's actually much healthier than if 00:16:21.79\00:16:25.14 you are not eating the healthy fat. 00:16:25.17\00:16:27.56 Yeah, I think this is so important to understand 00:16:27.59\00:16:29.70 I was in a grocery store, and there was an older couple 00:16:29.73\00:16:32.66 and obviously had some cholesterol concerns, 00:16:32.69\00:16:35.71 and so they were trying to discern which one of these 00:16:35.74\00:16:38.39 foods in the produce section was going to help or hinder 00:16:38.42\00:16:42.44 their cholesterol problem... 00:16:42.47\00:16:44.33 And I looked at them and I said, "Well, what you're looking 00:16:44.36\00:16:46.47 at here... of these you can freely eat. 00:16:46.50\00:16:48.83 These are going to be okay... Absolutely! 00:16:48.86\00:16:51.89 Yeah... and, of course, nuts have a hard shell 00:16:51.92\00:16:54.01 on them for a good reason... 00:16:54.05\00:16:55.18 We're supposed to work a little bit to be able to get to them 00:16:55.22\00:16:58.77 ...and, you know, burn off some of that energy because nuts are 00:16:58.80\00:17:01.86 nature's most caloric-dense foods... 00:17:01.87\00:17:03.68 But they're really a healthy food; 00:17:03.71\00:17:06.02 particularly the nuts that we mentioned... 00:17:06.05\00:17:07.75 the almonds, pecans, and the walnuts. 00:17:07.78\00:17:11.63 And not only the English variety, but black walnuts, 00:17:11.66\00:17:14.65 actually even have a higher P/S ratio 00:17:14.68\00:17:16.67 Black walnuts have a P/S ratio of greater than 10, 00:17:16.70\00:17:19.23 and will dramatically lower those cholesterol levels. 00:17:19.26\00:17:22.52 That's something worth trying. Absolutely! 00:17:22.55\00:17:24.54 Something delicious worth trying! Yeah! 00:17:24.57\00:17:26.63 And so, those are kind of the main factors... 00:17:26.66\00:17:29.52 The P/S ratios, the cholesterol in the foods... 00:17:29.55\00:17:32.76 But there are some other factors that can help 00:17:32.79\00:17:35.04 actually shrink down that occlusion in your 00:17:35.07\00:17:38.85 left anterior descending artery, or wherever else it is 00:17:38.88\00:17:42.84 and that is food that's high in fiber. Hmm 00:17:42.87\00:17:45.52 Fiber will actually bind onto cholesterol in the gut 00:17:45.55\00:17:49.56 ...even cholesterol that our own liver makes. 00:17:49.57\00:17:51.94 It will bind on to that cholesterol, 00:17:51.95\00:17:54.10 and it will help us to excrete it. 00:17:54.13\00:17:56.55 And so, just being on a high source of 00:17:56.56\00:17:59.65 what we call "soluble fiber," will reduce the cholesterol 00:17:59.66\00:18:02.41 15 percentage points in and of itself. 00:18:02.44\00:18:05.35 So there's soluble fiber, and insoluble fiber... 00:18:05.38\00:18:08.19 and what's the difference between the 2 00:18:08.22\00:18:09.88 Well, that's a good question. 00:18:09.91\00:18:11.65 A lot of people just think of fiber in general, 00:18:11.68\00:18:13.82 and that's kind of like saying "vitamin"... Right 00:18:13.85\00:18:15.93 And so, insoluble fiber is what's good for the colon. 00:18:15.96\00:18:20.21 That's what's going to reduce your hemorrhoids 00:18:20.24\00:18:22.73 It's going to help your bowels be nice and regular 00:18:22.76\00:18:25.44 And, it will actually reduce varicose veins. 00:18:25.47\00:18:29.32 The soluble fiber is what's going to control your diabetes 00:18:29.35\00:18:32.37 It's going to remove cholesterol 00:18:32.40\00:18:35.26 and it's actually going to prevent gallbladder disease 00:18:35.29\00:18:38.50 and gallstones. 00:18:38.53\00:18:39.71 And so, it is good to know the difference 00:18:39.74\00:18:42.84 In some foods, insoluble fiber is pretty much 00:18:42.87\00:18:45.90 in all plant foods that are whole. 00:18:45.93\00:18:49.32 Soluble fiber is a little harder to find. 00:18:49.35\00:18:51.74 That's where you have to get the oats... 00:18:51.77\00:18:54.12 and the beans... a very good source of soluble fiber 00:18:54.15\00:18:58.51 Lima beans actually are a very good source of soluble fiber 00:18:58.54\00:19:00.88 Lima beans are not my favorite bean, but I do love beans. 00:19:00.91\00:19:04.59 Soybeans also will help bring it down 00:19:04.62\00:19:06.86 ...navy beans and just about all of the beans 00:19:06.87\00:19:09.72 Actually, pumpkin seeds will also have a good source of 00:19:09.75\00:19:14.13 soluble fiber. 00:19:14.16\00:19:15.66 And another very good source of soluble fiber... 00:19:15.67\00:19:17.75 a lot of people don't think about is another 00:19:17.78\00:19:19.84 legume called "carob" 00:19:19.88\00:19:21.51 Carob has also been shown to reduce cholesterol levels 00:19:21.54\00:19:24.67 significantly, and actually help control blood sugars when 00:19:24.68\00:19:27.29 you don't put a lot of sugar with it. 00:19:27.32\00:19:29.58 Well... good to know! 00:19:29.61\00:19:31.16 And then, in addition to that, we have the source of protein 00:19:31.19\00:19:36.04 as being very important. 00:19:36.07\00:19:37.92 And this is what Dr. Sirtori in Italy found... 00:19:37.95\00:19:40.92 He actually put people... 00:19:40.95\00:19:42.34 These were all people with high cholesterol... 00:19:42.35\00:19:44.80 They were all prone to coronary artery disease and stroke, 00:19:44.83\00:19:48.02 and these types of diseases. 00:19:48.05\00:19:49.80 And so, he put them on a diet that was very low in cholesterol 00:19:49.83\00:19:52.70 low in saturated fat, higher in polyunsaturated fat 00:19:52.73\00:19:57.91 high in fiber... both groups 00:19:57.94\00:20:00.65 The only difference he made in that group was 00:20:00.68\00:20:03.23 the source of protein... they were getting 00:20:03.26\00:20:06.48 And prior to this, people didn't think protein was 00:20:06.51\00:20:08.62 important... They thought as long as you were getting it 00:20:08.65\00:20:11.41 and getting the essential amino acids, 00:20:11.44\00:20:13.60 it shouldn't really make a difference in your 00:20:13.63\00:20:15.29 cholesterol levels. 00:20:15.32\00:20:16.68 But, he found a very dramatic effect... 00:20:16.69\00:20:19.47 In fact, it even surprised him, and that's what our next 00:20:19.50\00:20:22.22 graphic is about. 00:20:22.25\00:20:23.66 Is the protein ratios, and if you take a look, 00:20:23.69\00:20:29.07 the group there in green was put on the animal protein 00:20:29.10\00:20:35.90 and so they had a more animal-based protein 00:20:35.93\00:20:38.16 It was actually casein, which is a milk-based protein 00:20:38.19\00:20:41.72 And the group in blue was put on a vegetable source of 00:20:41.75\00:20:45.58 protein which was actually soy protein 00:20:45.59\00:20:48.02 And the difference in 3 weeks, on this diet, 00:20:48.05\00:20:50.97 was a 40 mg/dL difference in cholesterol... 00:20:51.00\00:20:55.79 So 40 points difference... That's amazing! 00:20:55.82\00:20:58.11 He thought that he had actually happened to 00:20:58.14\00:21:01.44 randomize one group that would respond better 00:21:01.45\00:21:03.59 to diet... so he said, "I can't believe the difference" 00:21:03.62\00:21:06.24 So he switched the 2 groups over, and noticed the ones 00:21:06.27\00:21:09.53 now on the animal protein, their cholesterols came back up 00:21:09.56\00:21:12.19 ...where the ones who are now on vegetable proteins 00:21:12.22\00:21:14.83 ...their cholesterol came down 00:21:14.86\00:21:17.20 And it turns out, if we were to stretch this out 00:21:17.21\00:21:19.17 over a 6 week period of time, it would make about a 00:21:19.20\00:21:22.43 60 to 80 mg difference in your cholesterol level... 00:21:22.46\00:21:25.66 just on the basis of the protein that you're eating. 00:21:25.69\00:21:29.25 And the reason for this, as it turns out, was actually 00:21:29.28\00:21:32.90 found out by Dr. Sanchez at Loma Linda 00:21:32.93\00:21:35.10 He found out that it's the arginine-to-lysine ratios 00:21:35.13\00:21:38.89 that are important... Which are amino acids 00:21:38.92\00:21:41.06 Which are amino acids, and animal protein is high in lysine 00:21:41.09\00:21:45.83 which is not good for cholesterol levels. 00:21:45.86\00:21:47.96 Low in arginine which also isn't good, 00:21:47.99\00:21:50.21 and vegetable protein is the opposite. 00:21:50.24\00:21:53.87 In fact, he even went so far to find out 00:21:53.88\00:21:55.77 which foods are higher in the arginine-to-lysine ratios... 00:21:55.80\00:22:00.15 Kind of like we did with the P/S ratios 00:22:00.18\00:22:02.67 And, if you're wanting more information on that, 00:22:02.68\00:22:04.93 there is a lot of information available on that to 00:22:04.96\00:22:07.39 significantly lower cholesterol levels 00:22:07.42\00:22:09.81 just based on the vegetable protein that you're eating. 00:22:09.82\00:22:13.86 So Dr. Nedley, you're not necessarily advocating 00:22:13.89\00:22:16.92 a little pill that someone would take and see 00:22:16.95\00:22:19.42 dramatic differences, because here we have this picture 00:22:19.45\00:22:22.70 of, in 6 weeks, if someone would just for 6 weeks, maybe follow 00:22:22.73\00:22:27.10 a different diet... a completely different diet without 00:22:27.11\00:22:30.47 even the milk protein, that's interesting, 00:22:30.50\00:22:32.61 it was just casein that they were getting from milk 00:22:32.64\00:22:35.23 ...that's not in meat, is it? 00:22:35.24\00:22:36.38 That's right, I think it's going to be in milk. 00:22:36.41\00:22:38.64 So, taking out the casein, and following a completely 00:22:38.67\00:22:41.32 vegetarian diet for only 6 weeks, could make 00:22:41.35\00:22:43.66 such a dramatic difference! 00:22:43.69\00:22:44.78 Dramatic difference! Actually, it turns out to be 00:22:44.81\00:22:47.50 about the same difference as you would get out of a 00:22:47.51\00:22:50.15 potent statin drug. 00:22:50.16\00:22:52.58 And the interesting thing about that is... 00:22:52.61\00:22:55.34 is that if you're on a statin drug and you were to be on 00:22:55.37\00:22:58.17 this diet, you would lower it AGAIN that much! 00:22:58.20\00:23:01.38 So, it doesn't work through the statin mechanism at all. 00:23:01.41\00:23:05.47 And so, you can lower it in addition to a statin, 00:23:05.50\00:23:08.47 like having a double potency, or triple potency statin 00:23:08.50\00:23:12.44 just by getting on an ideal diet. 00:23:12.47\00:23:15.34 And so, yeah, medications are really, as it turns out... 00:23:15.37\00:23:18.53 If people would be on the ideal diet to eliminate 00:23:18.56\00:23:21.47 coronary artery disease, only less than 4% 00:23:21.50\00:23:25.68 of people would actually need any additional help 00:23:25.71\00:23:28.86 in getting their cholesterols down to the ideal range. 00:23:28.89\00:23:31.39 Because they have an inherited form of... 00:23:31.42\00:23:34.05 Because they have an inherited form. 00:23:34.08\00:23:35.72 So, less than 4%... that means 96% of the American public 00:23:35.75\00:23:39.90 would be able to get their cholesterol levels down 00:23:39.91\00:23:41.95 to less than 100 plus their age... 00:23:41.98\00:23:44.08 just by switching over to a diet such as we're 00:23:44.11\00:23:46.62 talking about here today. 00:23:46.65\00:23:47.63 Now, I've met some of these people who do have an inherited 00:23:47.66\00:23:50.05 form of high cholesterol... 00:23:50.08\00:23:51.97 Do you think that following this would still help benefit them? 00:23:52.00\00:23:55.83 Absolutely, even if they have an inherited form, 00:23:55.86\00:23:57.74 it will help benefit them some, but they may need some 00:23:57.77\00:24:00.07 additional help such as a B vitamin like niacin, 00:24:00.10\00:24:02.82 or maybe one of the other medications to 00:24:02.85\00:24:05.62 get it under control. 00:24:05.65\00:24:07.05 But, many people would be able to avoid the 00:24:07.08\00:24:10.12 side effects of these medicines. 00:24:10.16\00:24:11.37 You know, there're lot of people that THINK their livers just 00:24:11.40\00:24:13.36 genetically produce a lot, but they've never been on 00:24:13.39\00:24:15.45 an ideal diet to see if they can get it down under control. 00:24:15.48\00:24:18.03 They've been on the so-called American Heart Association 00:24:18.06\00:24:21.14 diet, which they think is the best diet out there because 00:24:21.17\00:24:24.11 they haven't been informed in regards to the new studies 00:24:24.14\00:24:26.50 showing that there is a much better way to go 00:24:26.53\00:24:28.99 than just scraping the skin and the fat off the chicken 00:24:29.02\00:24:32.93 and just choosing low fat cheese instead of regular cheese 00:24:32.96\00:24:36.83 ...or 2% milk instead of whole milk 00:24:36.86\00:24:39.27 And those are the little changes they've made, and when they 00:24:39.30\00:24:42.94 make those little changes, they'll just see little 00:24:42.97\00:24:45.13 reductions in their cholesterol, 00:24:45.16\00:24:46.71 and so they say... "Well my diet isn't working that well, 00:24:46.74\00:24:49.28 so I need to be put on a drug. " 00:24:49.31\00:24:50.78 But if they would make dramatic changes in their diet, 00:24:50.81\00:24:54.56 chances are, they would see dramatic changes in their 00:24:54.59\00:24:57.31 cholesterol levels... 00:24:57.34\00:24:58.58 And then they could get away with medication-free living 00:24:58.61\00:25:03.87 and actually a healthier living. 00:25:03.90\00:25:05.30 I mean, these statin drugs can produce liver inflammation, 00:25:05.33\00:25:07.74 muscle-related pain. 00:25:07.77\00:25:09.28 It can be a significant decrease in their quality of life... 00:25:09.29\00:25:12.42 Plus the expense of having to take it, 00:25:12.45\00:25:14.04 and then you need to get your liver checked every 3 months 00:25:14.07\00:25:16.84 at least, while you're on these drugs. Um hm 00:25:16.87\00:25:18.60 So, it's a lot better way to live. 00:25:18.63\00:25:20.98 And a lot of people think, "Well, how am I going to be 00:25:21.01\00:25:22.87 able to eat this way?" 00:25:22.90\00:25:26.11 Oh yeah, dramatic does not sound like a good thing... 00:25:26.14\00:25:29.25 Yeah! But actually, they CAN eat this way. 00:25:29.28\00:25:33.33 There are many cookbooks that are now available. 00:25:33.36\00:25:36.62 There are cooking schools that teach this way. 00:25:36.63\00:25:38.87 I, myself, eat this way, because I have a very strong 00:25:38.90\00:25:43.04 family history of atherosclerosis... 00:25:43.07\00:25:45.63 And I can tell you, from the physician-friends that come 00:25:45.66\00:25:48.71 over to our house and eat, or even come to our restaurant 00:25:48.74\00:25:51.22 We have a restaurant now, in Ardmore, Oklahoma, that 00:25:51.25\00:25:54.15 serves food this way. 00:25:54.18\00:25:55.49 They state that it's better than their own food. 00:25:55.52\00:25:57.90 They said... "You know, if I could eat this way all the time, 00:25:57.93\00:26:00.12 there's no way I'd go back to the other way. " 00:26:00.15\00:26:02.17 So, we really need to re-train 00:26:02.20\00:26:03.36 the cooks... that's what we need to do. 00:26:03.40\00:26:05.15 And I think there is a period of time, isn't there, 00:26:05.18\00:26:07.14 in which your taste buds and your mindset of what 00:26:07.17\00:26:11.95 you enjoy changes... 00:26:11.98\00:26:13.27 And I think that that takes about 3 to 4 weeks, doesn't it? 00:26:13.30\00:26:15.68 It does take a while... Yeah 00:26:15.71\00:26:17.23 It's really not that long when you look at the big picture 00:26:17.26\00:26:19.18 of your life, are you going to live with this high cholesterol 00:26:19.21\00:26:21.75 and the fear and dread of suffering, you know, from a 00:26:21.78\00:26:24.60 severe heart attack, or take 3 or 4 weeks out of your life 00:26:24.63\00:26:28.33 to just maybe make a switch and a change and reeducate yourself. 00:26:28.36\00:26:31.84 Yeah, and you can kind of choose your own pleasures. Yes, you can 00:26:31.87\00:26:34.76 You know, at the Lifestyle Center of America, 00:26:34.79\00:26:36.19 which I do some work in in mental health, 00:26:36.22\00:26:38.65 in our depression-recovery programs, 00:26:38.68\00:26:40.63 the first week, normally they still LIKE the food... 00:26:40.66\00:26:44.92 But, they're not necessarily enthusiastic about it. 00:26:44.95\00:26:47.31 The second week, they're really starting to enjoy it 00:26:47.32\00:26:49.89 and then the third week, they think the chef had 00:26:49.92\00:26:51.36 definitely changed! 00:26:51.39\00:26:54.29 Because they are thoroughly enjoying the food... 00:26:54.32\00:26:56.40 But the chef hasn't changed; 00:26:56.43\00:26:57.82 it's just that their taste buds have adapted to it, 00:26:57.85\00:27:00.26 and now they're very much enjoying it. 00:27:00.29\00:27:02.37 Don't you experience that now, after eating 00:27:02.40\00:27:04.17 this way for a while, and some of the other food that maybe 00:27:04.20\00:27:06.82 used to be your favorite... 00:27:06.85\00:27:07.97 it really doesn't entice you anymore. 00:27:08.00\00:27:09.91 Absolutely... and that's when you know you've had the victory 00:27:09.94\00:27:13.22 When you go back to something, and you eat it and it's 00:27:13.25\00:27:15.33 unhealthy, and you say, "I don't even LIKE this stuff, 00:27:15.36\00:27:17.97 how did I enjoy it before?" 00:27:18.00\00:27:19.61 You've got the victory in there, because now 00:27:19.64\00:27:21.80 you are actually enjoying foods that are healthy for you 00:27:21.83\00:27:24.90 and THAT is going to help your body in so many ways. 00:27:24.93\00:27:27.62 Absolutely! If you hate the way you eat, 00:27:27.65\00:27:29.65 and it's just doom and gloom, it's got to affect your 00:27:29.68\00:27:33.00 cholesterol or your arteries somehow in a negative way 00:27:33.03\00:27:35.33 And that is the good news that you eventually 00:27:35.36\00:27:38.94 start enjoying this way so much that it just becomes a 00:27:38.95\00:27:41.97 part of who you are... it becomes a part of your life 00:27:42.00\00:27:44.63 and, actually, it can become so habitual, that you can 00:27:44.66\00:27:47.83 learn to eat this way even going to typical restaurants 00:27:47.86\00:27:50.65 It's a little harder that way, but you can even go to 00:27:50.68\00:27:53.25 typical restaurants and eat foods that are going to 00:27:53.28\00:27:55.44 significantly lower your cholesterol level... Good 00:27:55.47\00:27:58.00 Dr. Nedley, I learned so much today... 00:27:58.03\00:28:00.17 This was a great program! Thank you 00:28:00.20\00:28:01.81 My pleasure being here, Rise 00:28:01.84\00:28:03.50 Do you have high cholesterol? 00:28:03.53\00:28:04.96 I hope that you will take this information and run with it! 00:28:04.99\00:28:07.34 Thank you so much for joining us today on 00:28:08.12\00:28:10.33 Wonderfully Made! 00:28:10.37\00:28:12.29