Speaker 1
Recently, a carnivore influencer named Dr. Kilts came out and said he may not be carnivore anymore. And I'm not here to talk about rumors or to start drama. I'm going through this video that he's talking about and why he's doing this. So we're going to dive into it right away.
Speaker 2
All right, Dr. Kilts here. And you know, I've been Mr. Crazy Carnivore for nearly 15 years. I felt amazing. And some recent things happening all over the world and in my life personally, we've seen some people leave us in this world and Maybe in a very polarizing way, potentially. And I've been thinking a little bit more how the shining light of Faith in the highest power within all of us needs to be a positive light to bring people together. And leading as a carnivore and only eating meat. Maybe it was a little too polarizing.
Speaker 1
So, we're going to stop there first. So, first things first, I love his honesty and humor, saying, calling himself a crazy carnivore for the last 15 years. I appreciate the honesty saying, like, hey, this is who I've been. This is my identity. And he kind of talks about this polarization, right? And he's saying, we've been pretty polarized. And I agree, like, we are way too polarized in an online health community. I see it all the time. Like, I know if I mention something in a video of mine, like the people in that community will come and they will show up in force. That's just like how it goes and what happens. But We are very, very rigid in our thinking as humans. I'm not saying I'm immune to this by any means, but we become so polarized that we can't even listen to other people having conversations about things that we don't necessarily agree with. And unfortunately, a lot of times these groups online embrace this as a badge of honor. Like, hey, we are different. We are anti-mainstream. We love that. And that's like an identity. So it's really hard when you're wrapped up in identity. Like, when your identity is wrapped up in anything, it's hard to break free from that. But I can just say. Right from the start of this, you hear this music, it's somber music. He's talking about doing a lot of things, talking about higher power. Like, this dude is thinking about a lot of things, and like my heart goes out to him. So, like, this whole video is not An attack. I've seen attacks on this video saying, oh, look at this. Crazy carnivore changes. That's not what it is. This is a guy, right? This is a dude, a human being who has emotions and fears. Probably a family and all these things. So, I always want to say, like, this, my heart goes out to anybody who's going through a tough time, and clearly he is. And so, that's one thing I just want to mention. I'm not here to pile on, I'm here to listen and offer perspective. That's essentially what it is.
Speaker 2
And and recently I've also had a test that showed my CAC score went from 700 to 800 and my CT angiogram noted A few more plaque sites with calcium in my LAD, in my right coronary artery, and in my circumflex, although My heart function and my blood flow is excellent. I feel great. I recently suffered from some acute colitis. I don't know what it was. But I did some fasting, I did some ivermectin, and I did some flagell. I've recently started consuming.
Speaker 1
Oh, and we're gonna hold it right there. So he is breaking into a couple things. So, first, he's saying, you know, I'm feeling good, right? My heart is pumping fine. The blood flow is good. I feel great. And this is one of those things where when I see this, my initial thought is. That doesn't give me a lot of comfort. And so he's saying, yeah, the pump is working fine. I'm sure his ejection fraction, if he got necklacardogram, was fine. And that's great. And that's why he feels. Everything's fine, but just because something feels fine doesn't mean there's not an issue there, right? So we can think about maybe the heart, and we talk about pumps and fuel lines essentially. So the engine is like the pump, right? We have to have the pump, and the fuel lines are the key arteries. So, like, your heart could be pumping fine, but like the fuel lines to get there could be garbage, and everything's fine until it isn't. Potentially. And so hemodynamics, which is the kind of how blood flows, that's definitely a lagging indicator of atherosclerotic cardiovascular disease. So relying on them can be dangerous because Sometimes the first warning sign is having a heart attack. You know, a lot of times the first sign of a heart attack is actually having it. You know, some people do have something called angina, which is when you have. Chest pain with exertion, that's indicating we're not getting enough oxygen to our heart tissue. And a lot of people do have that before, and they have, you know, 98% blockages or something like that. But a lot of people, unfortunately, the first symptom they have is actually having a heart attack. So, saying I feel good, that doesn't necessarily make me feel good. And another reason we can do that is because our body is incredible. We can have adaptive responses to it. So, our body knows this, has plaque, can respond to it. If you look at the slide here, we have a normal artery that we should have normal flow going through something called the lumen. The lumen is the opening of the blood vessel. When you start to get heart disease or atherosclerosis, it kind of goes into the wall of that artery and actually pushes the wall and the artery out. So it doesn't necessarily impinge on the actual opening right away. It kind of builds into the wall. So you can have build, build, build, build until it's too late. For analogy, imagine a road with a construction site on the side, right? So instead of blocking traffic, the body kind of widens the road out. So it pushes that construction zone outward and not through the actual lanes. The outer wall expands to hide the plaque, keeping the lanes open. So it's open, right? So traffic is flowing, everything's fine, it's moving great, everything's fine. But until what happens is eventually. It's not this traffic jam. It is a big accident that happens. So essentially, you can have the construction site or the plaque ruptures, leading to your body to cause a clot instantly, or that clot can Break off, go further down the heart into a smaller vessel and block that and cause a heart attack. And so feeling good now is just a flow issue, right? It's going fine. That's why we're having it. But It doesn't necessarily mean we are in a healthy situation. And on top of that, he mentioned his colitis, right? He said, Hey, I got colitis, I'm feeling bad. And we took flagellous antibiotic, and he also took ivermectin as well. Who knows what the reason we're treating him for? I'm not his doctor. But enough where we have to take something is concerning, right? And one of the big issues people talk about with carnivore is: hey, We're not having any fiber, and is that bad? Is that problematic, right? So, with fiber, we tend to think it adds to the good microbiome in our gut. And so, either way, what I see is someone who has been doing something he thought was right, and now all of a sudden he's getting screamed at by two directions: his heart and his gut. And it's kind of the moment that, like, this invincible armor is starting to crack, is what it appears like to me. Once again, my heart just goes out to this guy. Like, this is a very vulnerable spot to be in. I respect him tremendously for doing that, but it's very painful to see, like, hey. When you don't have control of your body, that's a scary thing, right? Anybody's ever been there, ever been sick or had something wrong with them? It's a very, very scary position to be in. And so I respect his vulnerability, but you can kind of see, hey, this is where it's going. So, he did mention something I want to talk about, and I don't want this to be just a reaction video. I want to do a little teaching as well. So, we talked about CAC and Corner CT. We'll talk about both of those. So, first, CAC, what does it stand for? Coronary artery calcium, and it is looking for you guessed it: calcium in the coronary arteries. It's a non-invasive test, it's quick, there's no needles or contrast, and the radiation is pretty darn low. Some people say it's Like a mammogram for your heart, although that's not the same case at all. But the screening idea is what they're going for: saying, hey, it's a quick, low-radiation screening. And the target, those for people. Who are of kind of intermediate risk. So it's looking for this calculated plaque. The calcium in your artery indicates that, yes, you have plaque, guaranteed. It's kind of looking for where we have that. But we think that the calcium is a little more solidified and more stable. But it's looking for these lesions to tell you: hey, do you or do you not have heart disease? And once again, I mentioned it's kind of this intermediate risk. So people. Who are in this intermediate risk? You can use different risk calculators to kind of determine that based on cholesterol, blood pressure, all these different things. It kind of helps us decide where do we go from here, right? So, if a patient's unsure about starting a lipid-lowering medication or aspen or something like that, this can kind of be the tiebreaker, right? So, if you go in there, You get it and you have a bunch of calcium, it says, Hey, you're actually a higher risk than we thought. Or if it's completely clear, then you say, Oh, maybe we can decide to just do lifestyle or whatnot like that. So, this is generally actually recommended if we're kind of on the fence, like, oh, I'm not sure. We can kind of look at that. And how do we look at it? Well, we can look at the scores. It is measured and given kind of something called a Gatston units, and this calculates the total area and density of the calcium. And so there's different buckets we have: very low, low, moderate, and high risk. First of all, very, very low is zero. So zero means no calcified plaque that we can see. Congratulations, you're at a very low risk of having an event in the next five to ten years. And that's something worth mentioning. These scans are good for very short-term prognosis, meaning, like, hey, I can only talk about the next five to maybe 10 years. It's nothing longer than that, but that's the general time frame we talk about here. And so here, this often, if it's zero, you kind of a lot of times don't need to start a medication. We can say, hey, let's focus on lifestyle and go from there. Then you have mild, which is 1 to 99, meaning you definitely have plaque. And your risk is elevated compared to zero. So here we kind of decide: oh, how about it feel? Do we start something? Do we not? But that's where we are. Then we have moderate. Moderate is 100 to 399. Meaning, you have a pretty high risk of future events. Usually recommended to start some sort of a lipid lowering therapy or aspirin or something like that. Maybe consider all the things if the talk aspirin's kind of Goes back and forth every other year. And then we have a severe score, which is greater than 400, meaning you have extensive plaque burden and the patient carries a significant risk. For developing some sort of issue down the line, right? So, yeah, that's where we're at. And just to put in context in this article, Dr. Kilts mentioned his CAC score went from 700 to 800. So he's 800. So he is. Definitively in the high-risk zone. So that's like the big thing that we take from this. Obviously, he knew he had it before, but it's gotten worse. So that's a big thing. And as I mentioned before, CACs are helpful, but they're not perfect. So, the big blind spot is that a CAC cannot see soft, non-calcified plaques in the artery. And we think those are the most unstable ones, right? So these unstable fatty plaques are the most prone to rupture and cause heart attacks. So we can't see that. And so, although it's rare, it's possible to have a CAC score of zero, but still have a dangerous soft plaque. As we saw in the video, he has a known plaque from this and a coronary CT, which we've talked about as well. It doesn't show you, like, this score does not show you how much you have, how much of a blockage is there, anything like that. So, that's something you have to keep in mind when getting a CAC score. And then the other side of that, he also meant the coronary artery CT. So, this is a different test. This is kind of the next level, is kind of how I think about it. This is if you've got a CAC, this is like the next one. Unlike the C, you know, the CAC score, this involves injection of some sort of contrast in you. So it's a more involved procedure. But it does show us what is actually going on inside of our artists, right? So it illustrates the lumen of the inside of the pipe, of the vessel, of the wall. It allows us to see the soft non-calcified plaque and the active cholesterol buildup, essentially, is what it's coming on to. And as we talked about before with Dr. Kiltz, he explained that he had a high calcium score, and also he has several lesions and soft plaques in this coronary CT, and so that's helpful. And why would we use this? Well, it can be very helpful for a bunch of different reasons, right? So if the CT says that your arteries are clear, there's a. Pretty, pretty darn high chance that you do not have obstructive coronary artery disease, and you feel good about this. So, um, we use this for patients who are you know worried about this. We use it for symptomatic patients to see how far they are. We look for people who are high-risk who are asymptomatic for lots of different reasons, but overall. There's different ways to grade them. That's kind of beyond necessarily the scope here, but it kind of judges your overall plaque burden. It lets you see, like, hey, where are they? How big are they? How much are they? So it's a next step up, which can be helpful. And we saw here with him. He was also pretty high. So, big things that we worry about.
Speaker 2
Obviously, I'm not super excited about that, but let's move on to the next one: cod liver oil, molecular fertility, ubiquinol. Along with a little bit of iodine and baby aspirin. I'm still on my typically one meal a day. I've thrown in a little bit of energy bits algae. I've also incorporated Fish, salmon. And the whole idea is that could it be that maybe my consumption of only red meat May have contributed. I don't know.
Speaker 1
I bought all right, so we're gonna stop right there. So first and foremost, he's saying that
