NADIR ALI 1’ | Give patient data on statin benefits [0.6%] to decide vs low carb, fast, exercise
presents episode 1121 | Dr Nadir Ali
Low Carb Denver podcast
Dr Nadir Ali, cardiologist: with heart patient & statins…
-in secondary prevention [already had stint, bypass surgery, or
had myocardial infarction] -best trial of statins was Forest: 1994, Scandinavia,
-funded & managed by Merck
Results: degree of benefit [mortality risk] -in statin group v control:
saved 0.6% lives per year
-99.4% had no benefit
“in my opinion, very small improvement”
-brings increased risk of myopathy &
worsening of diabetes, ED”
Dr David Diamond researched this sub-group that benefited
from statins: they were severely insulin resistant
-had high TG & low HDL–only group who benefitted!
“When I consider a drug that a patient will take for 20+ years…
I want to explain degree of benefit
in absolute risk reduction
[NOT RELATIVE RISK,
which exaggerates the benefit] Patient decides on drug or on lifestyle
changes: fasting, nutrition, exercise”
Many patients decide statin benefits
-are not what they had thought
Original Youtube: https://youtu.be/6YLrW-390wI?si=j7Fg7lTKxJ3Fsn5n
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