You want to know how not to diagnose familial hypercholesterolemia you don't
look for signs yes signs do happen it's called xanthelasma we've covered this in other places
these white pockets under the skin they're actually deposits of cholesterol you don't
want to do that because you're going to miss the vast majority of people that have
hypercholesterolemia now here's a question how important is hypercholesterolemia anyway
you know if you ask 90 95 percent of docs they'll say cholesterol is the biggest risk factor
it's not you ask some other docs like Nir Ali on YouTube and he'll say no you want to have healthy
high LDL you know it's not that simple on either side of the issue
yes prediabetes diabetes does appear to be by far the biggest risk factor for heart attack and
stroke and most of that's undiagnosed well guess what familial hypercholesterolemia
genetic hypercholesterolemia is a risk factor as well not nearly as big not nearly as common
and not nearly as much of a problem when it does happen now this comes from the FH website familial
hypercholesterolemia website they do a good job of explaining things like heterozygous and homozygous
and if you're interested heterozygous means you just got one from your mom but not from your dad
or vice versa but you didn't get it from both parents like homozygous there's a problem with
that that is implied but inaccurate simplicity you see the reality is there are over twelve hundred
between twelve hundred and two thousand separate individual genetic variations that can lead
to familial hypercholesterolemia so another thing that the FH foundation says is that 90%
of us who have FH don't know it once you start realizing the total number of genetic variations
it becomes very clear it's far more than 90% of us that have this problem don't know it another thing
you have to ask is is it 2.5 times the risk or 10 times the risk or somewhere in between I would say
there's a lot more people where it's even less than 2.5 times the risk but again that gets into
some conjecture and let's don't even go there one thing we do need to realize though is that
we haven't clarified yet the fact that there are multiple risk factors for heart attack and stroke
risk factors like atrial fib risk factors like obesity risk factors like by far the biggest one
insulin resistance many of which are undiagnosed like insulin resistance like atrial fib like
familial hypercholesterolemia now Sue was a great example of how
it's the combination of risk factors that's the problem in her mid-30s she had a problem she had
to have quintuple bypass she was smoking in addition to her FH she stopped smoking
was fine for another 20 years then she had to have another bypass because she gained 125 pounds
she lost that 125 pounds lost the prediabetes diabetes that went along with it she's over 70
now and doing very well so here's the thing we need to remember it's not just one risk factor and
especially with FH it's not just one risk factor one of the things that we'll find out as we get
deeper into the cardiogenetics forces is that even with genes it's which combinations create
lethal combinations for example the heart attack gene 9p21 the 9th chromosome the p21 area
it has a unique combination with FH in terms of increasing risk for heart attack and stroke we've
barely touched the surface on understanding things like 9p21 and FH now when you put them together
it's just terra incognita unknown territory for us thank you for your interest
why wait for a disease and hope for a cure I used to be an ER doc my name is Ford Brewer
I quit ER after a few years because it was just so frustrating most of the things bringing people
into the ER are things that should have been prevented including heart attack stroke number
one cause of death number one cause of permanent disability people think that you're just going
to have those and that they're not predictable both of those are wrong they are predictable
and you don't have to have them usually it's lifestyle lifestyle is more important than
supplements and even prescription drugs and even stents and surgery but the current times are tough
major financial impact with the lockdowns that most states have been going through
we've been working on a way to make this much more affordable with a subscription process and
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so I'm looking forward to seeing you cost is no longer an excuse so if you're interested go
to care.prevmedhealth.com/Membership or call us at
at 859-721-1414 or email us at myhealth@prevmedheartrisk.com looking forward to seeing you thank you