
← The Primal Podcast14 Jun · 1 h 09 min
Ep 161 - Dr Johnston | 25 Common Foods That Trigger Heart Attacks
<p>This episode is brought to you by <a href="https://shop.theprimal.com/" target="_blank" rel="ugc noopener noreferrer">The Primal Skincare. </a></p><p>Vascular surgeon Dr. Lily Johnston breaks down the definitive science of <strong>heart attack prevention</strong> and evaluates how modern <strong>diet</strong> and <strong>lifestyle</strong> choices directly accelerate or mitigate your <strong>cardiovascular risk</strong>. We explore the complex biological mechanisms underlying <strong>plaque</strong> formation and arterial rupture, moving beyond outdated dogmas to examine the real drivers of vascular disease: chronic <strong>inflammation</strong>, metabolic dysfunction, and the direct effects of insulin and glucose on your endothelial lining. </p><p>Whether you are navigating the nuances of <strong>cholesterol</strong> management or looking for the most accurate diagnostic <strong>testing</strong>, this episode provides an authoritative, evidence-based roadmap to optimize your <strong>heart health</strong> and protect your arteries.</p><p><br /></p><p><strong>In This Episode, We Reveal:</strong></p><ul><li><strong>The Pathophysiology of Plaque:</strong> How arterial plaque forms, why it ruptures, and the crucial clinical distinction between volatile soft plaque and stable calcified plaque.</li><li><strong>The Metabolic Drivers:</strong> The profound impact of chronic glucose and insulin elevation on arterial degradation.</li><li><strong>Advanced Diagnostics:</strong> Why standard lipid panels fail to show the whole picture, and how advanced imaging tools can detect early-stage disease.</li><li><strong>The Cholesterol Matrix:</strong> A scientific contextualization of LDL, the complexities of HDL, and whether elevated markers are a true risk factor on low-carbohydrate diets.</li><li><strong>Dietary Realities:</strong> A medical critique of common foods, the cardiovascular impact of processed ingredients, and the evidence supporting the Mediterranean diet.</li></ul><p><strong>Scientific Resources & Dr. Johnston’s Work:</strong></p><ul><li><strong>Dr. Lily Johnston (YouTube):</strong> <a href="https://www.youtube.com/@lilyjohnstonmd" target="_blank" rel="ugc noopener noreferrer">https://www.youtube.com/@lilyjohnstonmd</a></li><li><strong>Cleerly Health:</strong> <a href="https://cleerlyhealth.com/" rel="ugc noopener noreferrer" target="_blank">https://cleerlyhealth.com/</a></li><li><strong>CardioRisk Ultrasound Testing:</strong> <a href="https://cardiorisk.com/" rel="ugc noopener noreferrer" target="_blank">https://cardiorisk.com/</a></li><li><strong>HeartFlow CT Analysis:</strong> <a href="https://www.heartflow.com/" rel="ugc noopener noreferrer" target="_blank">https://www.heartflow.com/</a></li></ul>