Let's get started today
we've already had a few people
uh
join in Bart Robinson My Bjj uh
sharing some about stenotic aortic
valve
and the impact or maybe like thereof of
vitamin K2
I don't I don't think K2 is going to be
powerful enough to
to positively impact a valve
as Joe has shared several others
we know that calcification can impact
the aorta that
aortic valve you tend to see that more
often in folks that have
world-class Lp(a) and again we've
got several of those in our in our
viewer population so speaking of
calcium in vessels
let's talk about the topic for today
it's one of my favorite topics um
vitamin K2 so today we're
looking to clear up some of the
confusion about vitamin K2
does it take calcium out of the arteries
or does it impact
insulin resistance or maybe it's
something else
it's interesting out of all the the
K2 videos we've done I have continued to
want to cover one which talks about
insulin resistance I thought I had only
seen one actual randomized clinical
trial but as you'll see today there's
maybe more out there which deal with the
specific issue
of K2 and insulin resistance
but we'll get to that when we get to it
when we get to the program
again just a brief reminder of
previous
hello Doc you're not sharing your screen
though I'm sorry
you're not sharing your screen okay
thank you so much
hold on just a second we will get that
up there
thank you
Aspen
can you see it now yes Doc very good
okay so again where we left off
was talking about previous topics
how to prevent stroke exercise and more
can vitamin D lower COVID-19 risk
that's actually been one of our more
popular videos
we've gotten what 7 or 8
thousand just in a few days
and that's interesting because it's
it covered the entire
program of one of our YouTube
live videos and so it was
almost what 15 minutes
a long video for YouTube
but again getting a lot of views and a
lot of
a lot of time on the view
and like the last one that we did
saturated fats good or bad it's a it's a
big topic it's been very popular as
well now
just to share a couple of other things
way to access our information and even
more so
way to access the information about you
that's what the webinars are all about
you know people say well Ddoc it's really
expensive to get one-on-one time with
you it is
and that's just the reality I am in
retirement and
anyhow well I
won't go down that path in terms of
talking about 
I've got patients all over the world
and
anyway so here's one of the things that
we've done
so we've set it up to look at the things
that are most
often missed with your doctor
in preventive medicine and the things
that are most often missed the biggest
thing
is insulin resistance prediabetes even
full-blown diabetes
and if you want to figure out how to get
that
regarding yourself the webinars
are a perfect way to do that it's a
rifle shot issue it deals with that
specific item
it's relatively inexpensive so we've
got
actually we've got some specials I think
they're ending
today on the
webinars in fact maybe Aspen if
you will send an email to
to Chris and Michelle that may have
already ended
that that's special but anyway it's a
great way to
without paying the extra expense of
seeing me one-on-one without
just maybe disrupting some of your
relationship with your primary care doc
to just find out that one thing
do I have cardiovascular inflammation or
more importantly
and more more commonly do I have insulin
resistance am I one of those
over half of the adult population in the
US
that has insulin resistance and
90 that don't know it am I one of those
groups
am I one of those folks because if you
are
you're burning your arteries and we used
to call that
"normal aging" now we know
it's clearly you can stop it you can
even reverse it
there's also a webinar looking at plaque
you know do I have plaque
because if you have plaque things are a
little bit different you need to know
how to manage it
you need to consider things like
statin and baby aspirin and stuff like
that
and just doing a stress test
is not that clear in terms of plaque
go back and read the book well that book
will be out soon
and we'll talk about that in just a
minute as well so again
great way to access care very very
cost effectively
another cost effective way to do that is
the memberships we have
more people signing up for Silver and
Gold membership
getting a some one-on-one time exam
time is part of those activities as well
and of course the the courses are
available we tend to just make those
part of
of other deals other
ways of accessing our content I
mentioned the
the error the fallacy of saying you know
what do I have plaque do I have risk for
heart attack and stroke and hey Doc why
don't we get a stress test
Tim Russert was the poster
boy for that fallacy
he had a normal uh stress test
what was it
April March went back to work and three
months later died from a heart attack
so there's a whole lot more of the
science behind that and why that happens
the bottom line is
it takes over 50 percent occlusion to
show
anything to show results positive
results on a stress test
two-thirds of heart attacks occur with
less than 50 occlusion so there's got to
be a better way and again that's what
the
the plaque webinar is all about
regarding the website
we had we never really put that much
effort into the website it was what's
called the brochure website and
we didn't get a lot of attention to it
it was basically to help people that
were
looking to sign up for services
and help them understand what the
services were
about 6 or 8 months ago we started
putting some focus into making the
content available on the website
and we we're seeing great results um
what a year ago we would average about
10 visits a day
yesterday we had 600 visits to the
site
so again momentum's picking up people
are beginning to
realize and understand that content's
out there and
you don't have to be able to listen
through my slow
southern drawl you can find it in
writing
so we will actually
be covering one of those items that we
have a blog about vitamin K2
as soon as Aspen hits the
the water bottle for us
so vitamin K2 you see some buzz about it
but you don't see a whole lot of
clarity regarding what's the real
science what's the real mechanism you
hear people say
well you know what it takes calcium out
of arteries and puts them in the bone
where they need to be
how would it do that well
there's a lot of interest but not a lot
of information out there
let's go back and talk about that and
talk about what it might be and just as
a brief spoiler it might be a little bit
of both
so 1935 there was a Danish
biochem excuse me biochemist named Carl
Peter
Henrik Dom he described a food additive
that reduced blood excuse me bleeding in
chicks
fed with extremely low fat diet he named
it vitamin K
why vitamin K because the German word
and he spoke German for coagulation or
clotting is
starts with a K so he called it vitamin
K
a few years later an American biochemist
Edward Adelbert
Doisy determined that vitamin K's
chemical structure
and succeeded in synthesizing it
Dam and Doisy shared a 1943 Nobel Prize
for their work
on vitamin K now remember this is
vitamin
K not vitamin K2
and we're talking right now about that
original
vitamin K which is integral to clotting
or
coagulation that's actually
phylloquinone
vitamin K1 and you see the
for those of you who are biochemistry
geeks that's
the that's the
the biochemical
that's the molecular arrangement as
you start looking at vitamin K2 you
begin to see
that the menaquinones
the vitamin K1 is phylloquinone vitamin K2
are the menaquinones and there have been
multiples described
the two that are most commonly known are
menaquinone 4
or MK4 and
menaquinone 7 now one of the things
again if you get deeper into the
biochemistry you start seeing
that the vitamin K2 variations have
a lot more of these double bonds that's
about as far as I'm going to get into
the biochemistry and the
and the molecular structure
now vitamin K2 does affect bone growth
the loss and growth the deposition
and the taking back up of calcium
simply adding calcium to your diet
doesn't ensure bone growth
other factors are involved like hormones
and vitamins
when talking about calcium absorption we
think first of vitamin
D3 and it is critical to absorption
but K2 plays a factor now again we're
talking right now
about bones we'll go back and we'll
connect
this whole thing about vitamin K2 and
bones
and calcium in just a few minutes but be
patient with us as we get there
K2 activates osteoblasts
osteoblasts are cells which build up
bone
for those of you who've been
through
physiology you can remember blast
has a "b" in it and "b" stands for build
clasts
osteoclast has a "c" in it
and that means to cut away or to
decrease
osteoblaster cells which build up bone
osteoblast
produce osteocalcin and
osteocalcin is a protein or an enzyme
with important roles in bone
mineralization
in calcium hemostasis it's activated
it's very much involved in the
activation
of K2 K2 is involved in the
activation of osteoclasts and
osteoblasts
and osteocalcin is a part of that
process
and the process overall is what's called
a carboxylation
again for you organic chemists out there
it's a carboxylation
process which again here's where
vitamin K2 comes in that
carboxylation does not occur without
vitamin K2 K2 inhibits osteoclasts as we
mentioned before osteo
c cuts so osteoclasts take calcium away
from bone
and it inhibits those osteoclast cells
which remodel bone by removing calcium
K2 also activates MGP
MGP is an acronym standing for matrix
Gla protein
MGP is another protein which helps to
ensure that calcium is used in bones
and not deposited in arteries and other
tissues
now scientists have noticed that vitamin
K2 supplementation does
improve prediabetes
so again you hear so many so much
information about
well K2
gets takes calcium out of the
arteries and puts it in the bone
yeah but there's another way which to me
I wonder if it's not more even more
important
it's you may have heard the term
pleotropic
mechanisms actually I talked about that
in one of my videos
"pleo" means many and "tropic" means to go
to
statins have pleotropic mechanisms
not only do they deep they have multiple
mechanisms so not only do they decrease
LDL
they also decrease inflammation in the
artery wall
well vitamin K2 seems to have pleotropic
mechanisms as well not only
does it impact calcium in the
artery tissue and the bones
it appears to have something to do with
insulin sensitivity in 2010 Diabetes
Care Journal
and here we've got a link here if you go
that if you're watching this on
on a large screen here's the article
Dietary Phylloquinone and Menaquinones
Intake and Risk of Type 2 Diabetes Dr.
Joline Buelens
she's a professor of lifestyle and
cardiometabolic disease
epidemiology at the Amsterdam Public
Health
Research program her research is focused
on nutrition cardiovascular
health and prediabetes she's been
involved in several studies
demonstrating that K2
or the menaquinones have a preventive
effect
on prediabetes this work on vitamin K2
prediabetes is still not completely
proven but there are meta-analyses
already which support this as I
mentioned before at the beginning of
this
I thought I had found maybe the only
randomized clinical trial
that mentioned this and I found it
buried one place in some
really arcane literature but as you go
back and you look there's actually even
a meta-analysis
what is a meta-analysis for those of you
who don't know
it's looking at multiple pieces of
research
multiple trials and
these trials looked at this specific
question so the title of that article is
Effect of Vitamin K2 on Type 2
Diabetes A Review
the study showed vitamin K2 intake
reduced
7% the risk of type 2 diabetes with each
10 microgram increment 7%
doesn't really sound like a whole lot
until you start looking at
with each 10 microgram increments so
the question is at least from the
signals seen in this
meta-analysis significant
very significant powerful impact vitamin
K2 has a more significant
impact than vitamin K1 on type 2
diabetes and again
as I've mentioned from the very
beginning I felt like the
some of the original studies that talked
about K1 and diabetes
probably were confused
over K1 versus K2
that remains to be seen vitamin K2
increased insulin sensitivity via
osteocalcin metabolism
it improved insulin resistance via
anti-inflammatory properties and lipid
lowering effects
once you get a little bit deeper into
the anti-inflammatory
properties and the lipid lowering
effects
you might see and and we cover that in
some other
some other videos some other blogs you
might begin to
wonder like I do maybe it's not the
lipid lowering effects causing the
improved insulin resistance
it's probably the other way around the
improved
insulin sensitivity is causing
improvements in
lipids lipids in case you don't know
pardon the technical term
cholesterol and triglycerides on a
practical basis
you improve insulin sensitivity you
improve
HDL the "good cholesterol"
you improve LDL
the "bad cholesterol" in fact you
and you
improve triglycerides so
that actually is a deep topic I just
finished a blog update on
triglyceride over HDL ratio that is a
very very interesting topic I gave it to
Chris
last night he'll be working on it and
hopefully we'll be putting out
putting it out and covering triglyceride
over HDL ratio
and the impact of triglycerides and the
fact that
HDL lipidology is very confusing
but there's some very important
life-saving information in there
so we want to boil it down make it
palatable make it
digestible enough on the triglyceride
HDL ratio again this is where the
where that where I went down that bunny
trail improved
insulin sensitivity and we'll talk about
that in that next video
improved insulin sensitivity
decreases
triglycerides when you decrease
triglycerides you
increase the large the HDL
numbers you increase the large fluffy
HDLs which are the ones that really help
and you actually move your
LDLs back up in the proper direction
away from the small dense atherogenic
LDLs up into the larger fluffier
fluffier HDLs which do not
cause plaque so back to vitamin
K2 it also suppresses inflammation
inactivating the NF-kB
signaling pathway now
is that associated with insulin
sensitivity
I don't know that's a little bit deep
for me
we were going to cover this video it's a
quick one minute video
it's been a very popular
re-publication of a
of a discussion on
vitamin K2 but I thought you know what
that's enough of me
let's go ahead and go to the
to the Q&A Aspen if
so there we go hopefully I've muddled
through
and wandered around this topic at
least well enough to get some
acknowledgement some understanding of
what's going on
got a lot of folks here today a lot of
interest in again K2 is always a
a very interesting topic I'll just start
off with the question
you know do I take it yes I do how
much
we get that question a lot
most supplements you'll get like these
K2 D3
supplements and you'll typically see 100
micrograms of K2
in the in that supplement the
randomized clinical trials that I've
seen that actually impacted
insulin sensitivity
actually used 3 and 4 hundred
micrograms and that's closer to what I'm
taking
I take a regular supplement didn't think
to bring the tablet in today
but you can get it in our systems we've
done a lot of work improving our
supplements
access programs
and again either I or JR can help you
with that
or you can come to the supplements
webinar we've got a webinar
on that as well now I tend to take
200 micrograms per day I'll take 200
micrograms per day in a supplement
but I also have a morning smoothie which
in
which I put meadow in natto powder
natto you may remember is really
icky bad vile tasting stuff
at least for most of us and it was for
me for the longest time
when I was the medical director for
Toyota
North America I got the chance to
to visit Japan a few times and tried
natto
and it was really bad now when I say
that
I get a lot of comments from people that
say no they really like it
I have acquired I haven't even really
acquired the taste I can tolerate it now
but anyhow what I do is I get a
bag of
fermented
soybean natto
powder off Amazon I put a teaspoon of
that powder in my
morning smoothie the morning smoothie
doesn't have significant calories it's
more of a
a supplement type of smoothie and we can
cover that again sometimes someone
one was asking me about the contents of
that I've got a video that talks about
my morning smoothie
if you want to take a look it's a little
bit old it does I don't know if it
includes that natto powder or not
but let's get to some questions Bart
thanks for
joining and we
John Tocho good morning Doc I have my
echo this afternoon
to check on my mild aortic stenosis I
didn't know you had that thank you so
much for sharing it
oxygen 99 so that's an O2 sat
84 was my month of august average for
Freestyle Libre
excellent and I hope you confirmed that
a couple of times
Freestyle Libre can be a little bit off
thank you for all
that you do thank you John I appreciate
it
the one comment I want to make I had
someone come in that had been working
with a Libre
one of my patients and
again had very unrealistic expectations
had a number down
probably off by about 5 several times
and he said you know this
this Libre is not accurate guys wait a
minute let me give you an example
the vast majority of patients people
that come in as full-time patients
in our core lab panels we'll end up
looking at fasting glucose two different
ways one is through the metabolic panel
the other is through the OGTT and insulin
survey
both of them include a fasting glucose
now this is typical and in over half
of folks we'll see a variation of five
and even up to ten
now let me go back and give you some
perspective on that
this is the same patient the same blood
the same draw the same stick
the same
technician doing the blood
in the same "lab"
Quest and it's a national reference lab
they're a great lab
and yet we get variation of five to
even
ten yes that's the sort of variation you
can expect so you'd say
well I'm not going to use that that
doesn't tell me the exact number
you know that's the state of the art
folks you
you need to learn how to approach
labs with some idea of skepticism when
you see
some potential for being off you need
to know what to do
and the most common thing and the most
important thing is to carry a
to have a finger stick method with
you at the time that you have that
so John thank you so much for sharing
that
and
it sounds like you're doing great
My Bjj five dollar super chat thank
you so much Bjj we appreciate that
some believe K2 can reverse aortic
valve calcification for those with a
stenosis
there are no clinical trials but one is
is in recruiting stage
any thoughts on this I've been on it for
10 months of my AS aortic stenosis
thank you
thank you Bjj for sharing that you have
aortic stenosis and you know
I have to tell you it's a guess
but it's what I mentioned early on
I will be very skeptical
that K2 is as
powerful and as helpful as I think it is
I'll be skeptical that it could actually
significantly reverse aortic stenosis
but here's the thing if it can if it can
stabilize and prevent
insulin sensitivity and even improve
insulin sensitivity
who knows if I had aortic stenosis
I'd be tempted to try it so thank you
again for the question
very very interesting
thanks at Bjj John Tocho saying he
takes
K2 Bjj my
stenotic aortic valve area went from 1.0
centimeters
to 1.1 centimeters in 14 months while on
K2
that is within margin of error correct
so what what that means for those of you
who that who got lost on that within the
margin of error means that we're not
you can't really be sure that that was a
major
a major substantive change that
might have just been a
variation of the measurement method
itself just like we were talking about
the margin of error
a few minutes ago with blood glucose
it's
even five maybe up to ten at a
at a great lab like Quest so
when you see a variation on your
on your Freestyle Libre don't over-
stress on that start looking at patterns
the patterns is what's appropriate and
important because of the margin of error
don't set up your insulin treatment or
anything like that
based on it so
that's within the margin of error and
pressure gradient has increased
so that makes you if the pressure
gradient has increased that makes you
think that maybe there has been some
actual
physiologic increase of that
aortic stenosis so I'm doubtful it
helped
I would as I mentioned I would be
doubtful
as well John Tocho thank you so much
John
for the
the super chat so Douglas D
the heart loves fatty acids it's a good
point people tend to think that
the whole body runs on glucose no
the heart the brain can be trained to to
go on that and it probably does
better on on
fatty acids and the heart clearly does
better doesn't need to be trained
thank you so much for sharing that
Carolyn Rogers hello
hello to you Carol
hi everybody hello Ibtihaj
hope and sorry if I mispronounced that
name
Douglas D I had an RN tell me to lay
off the K2
but she's only a nurse not full-fledged
doc well
thank you for sharing that but don't be
too quick
to assume that doctors know this
stuff the vast majority of doctors don't
go that deep into
supplements or even nutrition at all
it's just not been part of medical
education
Art Berry I take K1 and K2 have type 2
diabetes
well
I have prediabetes and I take K2
and you know what most of us once we get
beyond 30
clearly beyond 40 and 50 start getting
this problem
prediabetes so I think K2 is probably
something that
maybe most of us should be considering
My Bjj found out about my aortic
stenosis 14 months ago they thought it
was
thought it was my very high Lp(a)
but found out I have a bicuspid or
aortic valve so interesting which
causes early
early calcification and I'm 53 years old
very very interesting so 
if you if you're okay sharing let us
know what level of Lp(a) you have
Joe Reilly does some work with us he
shared with us on the channel he's got
some very high levels of that
so and i think in the family there's a
few folks that have had
calcified aortic valve and you're right
that's
one of the things you look for with
these really really high levels
but then you go in you take a look and
yours was not
the Lp(a) it was a bicuspid bounce
I guess what I should do is maybe talk
about
or at least clarify bicuspid versus
tricuspid
usually the aortic valve has cusp means
leaf
in the valve and I'm doing this I don't
know if that's going to help very
very much it maybe look it up on
on Wikipedia
the tricuspid the three-leaf valve is
what the vast majority of us have
and that three-leaf valve gives it more
more opportunity to open up a bicuspid
valve
is more like this and it's a little it
doesn't give it quite as much
flexibility for opening up
to get that blood across the valve level
thank you so much for sharing that Bjj
David Raistrick hello Doug Smith can one
have insulin resistance if thin and
athletic
ran 19 miles in the last two days Doug
this is the channel for you I have
for the past 30 something years never
had a BMI over
22 I am a marathon runner
not so much anymore but I've run what
a
maybe a dozen marathons I have no idea
how many
half marathons and even an ultra
and it was what maybe a year or so after
my first
ultra or after my ultra marathon that I
discovered
my significant prediabetes so
I hope that answers your question
marathoners get prediabetes
all the time it has more to do with
aging
than than obesity
obesity is very important it's
much more it's more reversible than
aging obviously
but Doug yes take a look at some of our
videos
marathoners and I've got several
metabolic
doppelgangers guys that again
big marathoners with significant
prediabetes even full-blown diabetes
age 73 yep
read the book there's a very
interesting book on this
it's not specifically on marathons
and if you say well I've got it's got to
be about athletes
this wouldn't be the book but a
couple of books
one is Blood Sugar 101
by Jenny Ruhl R-U-H-L
or The Diabetes Epidemic and You by
Joseph Kraft these are both classics in
this space and basically what they show
us is
by the time we're age 60 way over half
of us have this problem
if you think you're going to outrun it
think again
and and here's the thing a couple of
things I'll just share with you
stuff that I've shared with folks on
this channel multiple times
one of the questions you have to ask
about well
again marathon or ultra marathon why
would I have diabetes or prediabetes
keep that fat level way down
and then here at age 63
I still have a size 32 waist
so it's not fat
it's aging there's a couple of other
things too
I was a 10 and a half pound baby 63
years ago
we used to think that was a fat healthy
happy baby
but what we have found over the past
couple of decades is that
babies that are that fat have
a greatly increased probability of
having prediabetes
and diabetes as they age the concept
here is called
epigenetics and we've got a lot of
we go into a lot of that science too
it's called the methylone
m-e-t-h-y-l-o-n-e
the methylone that the
genetics needs this you know if you've
got what six billion base pairs
in your genetic code then you really
need a good librarian to go back and
figure
out okay this is the gene for
you know one of the proteins we talked
about this is the gene for ApoE1 which
is the
protein in HDL or this is the gene for
LDL actually LDL uses one gene and it
cuts it off
148 etc but that's a that's a bunny
trail
you need a great librarian to figure out
how to find
all of those genes and that librarian
depends on methyl
it methylates areas of the of the
genetic code
so when I was in the womb and getting
way too much blood glucose resulting in
me
laying down way too much fat my
my genetic librarian was creating
was methylating a lot of genes
that are now coming back to roost backed
into function
which even though I was running
marathons
took me on into full-blown well
I'm not going to argue about full-blown
diabetes
it's very significant prediabetes very
significant diabetic
metabolic tendencies difficulties
metabolizing glucose
and again this goes back to when I was
in the womb
so very interesting stuff and where
we continue to find more and more
another issue about epigenetics
and a very interesting issue which
we don't understand at all yet and
that is
if you take lab animals mice laboratory
mice
and the father is obese at the time
of
fertilization of the egg
not only the offspring but the
grandchildren of that offspring
have much higher risk for diabetes
so Doug there's a lot more going on here
than body fat there's actually a lot
more going on than
age there's some epigenetics which we
just
don't completely understand yet C Lear
thanks for educating us is high LDL
with low small particle size
LDL okay oh gosh
you know talk about throwing a piece of
meat into a pack of dogs that's
there's a lot of argument and debate
over that
most of us would say yes it is okay and
I would tend to
well most of maybe the folks that have
studied the LDL recently
and I would be one of those yeah it's
the small dents
LDL that are real problems and again
this gets back into
some maybe a bunny trail I started to go
down earlier and that is
why does triglycerides number one
why does insulin resistance cause
increased triglycerides
we'll talk about that again later in the
in the upcoming
blog and video
and then why does increased
triglycerides
cause increased uh decreased HDL
decrease HDL size and why does it
even causes
decreased LDL size which most people
don't understand
I actually go into a
a picture of one of my patients not the
patient
not the any of their identification
information but we show you their
triglyceride over HDL ratio which is
in this case seven
then we show that there's a major chunk
taken out
of the magnetic resonance imaging of
the HDL it's just you can see
where
there was a beautiful
bell curve showing the population of
HDL particles
the large ones are just taken out
then you look over the LDL and again
they've got a good
a good bell curve pattern but that whole
pattern is moved
over to the left where it's much more
small dense LDL
you know there's a there's a great
series of podcasts by Peter Attia and
he's interviewing
Thomas Dayspring and Dayspring is
one of the
the guys that looks at this issue
and what it appears to be is this
so why does increased
increased triglycerides cause
smaller denser HDL and LDL
there's a thing called CETP
cholesterol ester transfer
protein and what it does is it will take
cholesterol esters out of HDL large
HDL particles it'll take them out of
large LDL particles
and transfer that for that triglyceride
so if your body's
making too much fatty acids
triglycerides
your those fatty acids tend to get
transferred from the VLDL the remnant
cholesterol and the chylomicrons
mostly the VLDL so when they take that
triglyceride is taken out of the VLDL well
maybe I'm getting a little bit too
technical here
and maybe i'm confusing the situation
bottom line is
triglycerides begin to replace
cholesterol in these lipoprotein
particles
when they do the liver lipase we'll take
that
take that particle up and digest it pull
out the
triglycerides leaving all of those large
fluffy HDL and large
fluffy LDLs that used to have
cholesterol in them
are gone that's what happens
and thanks for your patience if that got
a little bit
too technical thank you so much Amer
Al Gayar
hi from Germany hello Amer great to
hear from you
My Bjj thank you again so much for the
for the super chats as
as Aspen has shown we've got Patreon
we've got a couple of other
ways to contribute and we really
appreciate it
bottom line the biggest thing we
would love for you to do is
maybe get a course maybe even get a
a webinar to find out about yourself how
much
of these problems do you have do you
have insulin resistance do you have
plaque
that is critical life-changing
information
for you as an individual Robert Simpson
good morning good morning Robert good to
hear from you
Robert's often on the channel 
Magnetopulse
love your channel if one is recovering
from an event one year ago with stents
is K2 risky no
so here's the rest of that question is
K2 risky in that it might
destabilize existing non-stented
plaques you see this
comment this question quite a bit
and actually if you look back on my
videos when I first started looking at
K2
I wondered about that as well John
Lorscheider when he was
active with our channel felt very
strongly that that was a potential
possibility
the more I study this the less I believe
that it
that K2 is actually going to destabilize
a plaque
I just
a couple of things number one as we
mentioned already
in the in the program K2 helps decrease
insulin resistance so
insulin resistance is not going to
destabilize a plaque
and here's the other thing
if you're removing
plaque so John's video was a great
example of this
he actually decreased his calcium
score by what 59
60 over 18-month period
we had another video from another
volunteer named Gerry Kurth he
reversed his calcium score by about 20
percent
and here's the thing does anybody think
that either John or Gerry actually
destabilized their plaque when they
remove the calcium
not at all these guys lost and within
John's case he lost like 40 pounds
Gerry stabilized a lot of things it
was clear from the rest of their
the case discussion for these
individuals they were clearly getting
more healthy
not less so yep you know if you
if you lost 30 pounds you start reducing
some of that plaque or lost 40 like John
did and start reducing some of that
plaque
the calcium that way if you gained all
of that weight
and you got a decrease in calcium yes I
would be worried that you've
destabilized your plaque at that point
but when you're doing it by K2 and
weight loss and some of the things that
we know
improves your health I don't think
that's going to
destabilize the plaque so much as it
is
just naturally and safely reverse it
so we have
we're losing track
we've got a lot of comments coming in 
here let's My Bjj do you have an
opinion on the timing for bicuspid
no I don't sorry timing for bicuspid
avoiding aortic valve surgery two camps
wait as long as you can but get SAVR
once
the symptoms present or number two
better to get the SAVR before symptoms
I'm sorry Bjj I do not have an opinion
in that space
Farrokh Farr is K2 a blood thinner
thanks for the information Dr. Ford
K2 is not a blood thinner you don't have
to worry about that you don't have to
worry about it in
interacting with blood thinners
that you might be taking
K1 is the blood thinner and
unfortunately since they're both called
K which originally as we discussed came
from coagulation
the German spelling people really get
a lot get tend to get confused about K2
and blood thinning it does not do it
it's inert in that area
Magnetopulse are you aware of any Bale-
Doneen practitioners
in the south of France Magnetopulse
I'm jealous if you're in the south of
france or if your family
is or you know somebody there
I do not know any Bale-Doneen
practitioners in the south of France I
will say
this though uh I've been a Bale-Doneen
practitioner for quite a while
and I've got patients in London Brazil
New Zealand which for those of you who
don't know it's in Australia
we've got patients in Israel so
I've got a fairly global reach Magnetopulse
then I'd be
if we can get time on the
docket I'd be happy to see
see your friend or yourself Shakir M
is it permissible to take vitamin k2
without doctor's consultation yes it's
an over-the-counter
non-prescription vitamin supplement Mary
LaBorde my husband and I take 300
micrograms of
K2 daily I think that TO
was supposed to be the digit daily thank
you for sharing Mary
Ega0117 yeah what's K2
without going through those details
again I would suggest maybe you want to
go back and take a look at the
the video and we've got about a half
dozen more than a half dozen
other videos on the channel on K2 what
is it
in fact look up Ford Brewer YouTube Ford
Brewer
vitamin K2 what is it you'll see a
that level of video vitamin K2 101
Trav Barber how is John's efforts
towards reducing his
calcium score going john has
disappeared from the from the road
map he's
as he said he said I'm going dark
you probably won't see or hear from me
for maybe ever I'm
focusing on my on some personal stuff
so
I'm respecting his request and
his privacy
Mary LaBorde K2 not K to okay thanks yeah
that's what we thought thank you for the
clarification Ega0117 that
sounds like a skiing product
K2 you know there's a mountain
that's a lot of people are excited about
climbing
K2 so yeah you're right sounds like a
skiing product
they say propolis makes wonders for
diabetes and heart
strokes isn't it not sure I'm not
familiar with propolis is that real
natto
I think you're asking is the powder
that I'm taking real natto
it certainly appears to have significant
K2 in it but I think that's a great
question
I have not been able to verify Trav
Barber any concerns with soy and
nattokinase
nattokinase and natto are not the
same
thing nattokinase there's another
term for it
and it's made from the
from a substance in um
in moth saliva it's what the
moth uses to get out
chew its way out of its
of its husk of its cocoon when it's emerging 
(note: Dr. Ford is actually referring to serrapeptase here)
so nattokinase and
natto are not the same thing thanks for
the question though
any concerns with soy um
and I think what maybe the question is
concerns with soy I know there's a lot
of perception that
soy increases hormones especially female
related hormones I've not gone that deep
in terms of
of that issue I know that soy is a huge
product in America a lot of my
family are soy farmers chicken farmers
in North Carolina
did a lot of work with Toyota
obviously
those you know soybeans they just eat
them
as part of the a lot of meals
I've not seen anything that was
substantiated
yes there does appear to be you know
when when there's smoke often there's
fire
there does appear to be evidence that
there's some relation there
that's I don't I don't doubt that I
don't argue with that what I do
doubt is significant health
impact from soy and I know when I say
something that clearly
I'm going to get a lot of haters because
there's a lot of folks that are
soy haters I'd love to see your
see the evidence the citations the
actual
evidence thank you much Rook Stockpicker
my cardiologist doesn't believe you can
lower calcium's course I know
he says it's just a way to sell books
I know I see that a lot and in fact
I've got a I've got a video that
is titled my cardiologist says this is
impossible
and one of the things I do in that video
is go to the actual science
I'm not saying this I mean
I've
documented a couple of cases and yes
we've talked about that
I don't have any books on that to
sell
by the way
if suggest your cardiologists take a
look at the actual science
and I've got the references in those
articles
this was a cardiologist in LA that
this doc was
referring to Cedar Sinai I think and he
says it's impossible to reverse plaque
and you know one of the citations was
simple these are not this wasn't even
hard science one of the citations is
simple
easy Harvard Health which is written for
the lay public not for the medical
public
and the docs at Harvard Health are
talking about yes
we have seen it it's not impossible
to reverse plaque just like it's not
impossible to reverse a calcium score
so thank you Rook great point I'm
glad you brought it up gave me
an opportunity to go down that bunny
hole Bart Robinson I'd rather go to
another cardiologist if he told me that
we see a lot of that thank you Bart for
the
for the response Jim Clark Senior any
experience
experience with concentrated K which is
5,000 micrograms K1 25 milligrams
K2-MK4 no I
didn't have not had experience with that
two milligrams astaxanthin it's been
prescribed by an internist for me
my cardiac calcium score is 200 now it's
209
no I'm not familiar with that and 
I'm guessing you're obviously not on a K
antagonist
that's one of the drugs that it's a
blood thinner these are a class of blood
thinners
which decrease the vitamin the impact of
vitamin K1 in the coagulation area
and I'm saying that because you're
talking about concentrated K
having 5,000 micrograms of K1
Jonathan Hull do you have patients that
use a continuous
wear pulse oximeter to measure overnight
oxygen levels
I just heard about this you know what
Jonathan i just heard about with this
from your comment
never heard of that before I think
that's very interesting
very interesting uh Kevin Gold what do
you think is the safe maximum dose of K2-MK7
relatively high
calcium score okay nuclear stress you
know I don't think there's a whole lot
of
there's clearly no evidence regarding 
that any safety signals
from K2 in other words K2 appears to be
fairly harmless I don't
you know then it becomes a question of
you know how much makes sense like I
said I take
relatively higher amounts is it going
to hurt you to take
600 or 800 micrograms I'm very
skeptical that it is if it did
I think there would have been I think
there would have been signals about that
um Mary LaBorde natto
pronounce
it as natto oh I'm sorry Mary thank you
very much for the reminder
like I said I've spent
significant as in a decade working uh
8 10 12 14 hours a day with the Japanese
and
I know that natto and I've been saying
natto I wonder why
I wonder why I even went there it's just
your brain fails Bart Robinson good
question Kevin I agree
Nam Rofni at Rook because it's not
in his interest if it's true if it works
he'll lose a lot of
I think Nam's point is
the cardiologist would say yeah
if people knew they could reverse their
plaque they wouldn't come to see me
yeah I'm sure there's
I constantly get surprised with some of
the nefarious stuff that goes on
even in medicine but and maybe I should
say especially
in medicine but the reality is it's
not very common now
I would say that I think that drives
more of this perception that you can't
reverse it than anything else
Danny what's a high safe daily dose
of
K2-MK7 again I wouldn't get
I wouldn't think that I'm just
skeptical that
significantly over 400 micro I haven't
seen anything over 400 micrograms per
day
in the science in the literature I don't
think you know I don't see any evidence
that
I'm personally not planning on going any
higher than that Kevin Bart
Kevin Gold thank you Bart Patricia Morse
vitamin
MK7 K2 helped clean the arteries
Patricia evidently you've just joined us
recently
you may want to go back and view this
video and a few others on K2
in on this channel Food Lover most
cardiologists are just money mills
they maintain outdated and just strong
theories about heart disease to maintain
their incomes
a lot of cardiologists are clearly that
way I'll just leave it at that
Ega0117 yeah what cleans the arteries
Greg Without Diabetes Greg I hope you're
still without diabetes that's a very
interesting
name wonder where does that come from
when one gets a bad Libre button does it
not work or is it just inaccurate
it's it's usually inaccurate
not all buttons are inaccurate but when
there's a bad button it's usually
because
it's inaccurate I just had one that was
20 points low
and you that's what you tend to see
you'll tend to get these buttons that
are 10 or 20 points low
you just have to recognize that go ahead
acknowledge it
replace it and move on
that's what happens in life Food Lover's
right
and Food Lover was the person that was
banging on cardiologists
no no other comment from at least
from me there
Bob Bell Greg WD there are differences
between capillary
BG venous BG and interstitial BG which
is Libre
thank you bob so there's a thing called
the choochoo effect and that is
if you if you ingest some glucose
your blood sugar will pop up quickly
in the blood but it may take up to 20
minutes and when it drops again
it may take 20 minutes even half an hour
to drop on the Libre and it's because
what we call the choochoo effect the
choochoo is
this issue you're not looking at
capillary blood
glucose or venous blood glucose you're
looking at
interstitial fluid blood glucose
and it takes longer to get there
not going to spend much more time on
that thank you so much Bob for 
bringing that
up Rook Stockpicker had a stress test
yesterday I don't have results I do know
they took plenty
of pictures and they had to go through
all five stages on the treadmill to get
my heart rate up to 136
well Rook the fact that they had to go
through all those stages
is a very very good thing
congratulations
Bjj I'm 95th percentile Lp(a)
97 milligrams or 243
that's a significant number Bjj 
as I've shared on many of my other
videos I've got lots of people with
500 and above
it runs Bjj says it runs in my family
well of course
it will it's genetic grandpa died at age
52
he smoked and suspect this combined with
the Lp(a) as the culprit
you bring up a great point in it again
it's worth repeating
so like I said I see a lot of people
with significant elevated Lp(a)
actually a lot of other docs to do too
but
most docs don't look for it so
they'll often miss it
and
you know we used to say not ready for
prime time until
Bob Harper had his heart attack he was
the guy on the biggest loser
and he announced a week or two later yep
that was Lp(a)
and yep I got that from my mom
his mom was in her 70s or 80s at that
time and
fine and I will tell you this
that's exactly what I tend to see 
even a lot of these people with huge
numbers four or 500 plus
tend to do very very well until and
unless they add
another major risk factor like obesity
or aging or in this case and I've seen
that several times too
smoking so thank you so much Bjj that
was a great
contribution James Kantor Dr. Brewer if
you were thin and athletic
why do you think you became prediabetic
well
i shared i shared a couple of things
about that number one
one thing I didn't share about it is
I have a healthy dose of 9p21
what's that 9th chromosome the p21 area
it's an area which used to be known as
the cancer gene
as a cancer gene it was also
if you've read that book somebody
mentioned Bale-Doneen before
Beat the Heart Attack Gene well the
heart attack gene that Brad and Amy are
talking about in that book
is 9p21 it's actually pretty common
and what they don't go into a lot of
people don't go into
is the fact that now we've found dozens
of components within within that 9p21
area
a major chunk of those components result
in increased risk for diabetes
there's some also some chunks within
the 9p21 area that
can cause increased risk
problems with the smooth muscle of the
artery wall
won't go down that bunny trail but i'll
go back and answer your question about
me so I've got a major
chunk of our major risk associated with
9p21
I was a 10 and a half pound baby my dad
was
north of 300 pounds when I was conceived
and I hit my late 50s so
I had a whole lot of stuff going on
and who knows I didn't check
maybe I had some significant
organ peri-organ fats within my
abdominal cavity don't know that I
haven't looked
but I clearly had both genetic and
epigenetic reasons to get diabetic early
now here's one thing
one of my family members said this to me
she said Ford you've got all this stuff
going on
why is that and the answer was
because I looked and I knew what to look
for
the vast majority of people with my
level of prediabetes
have no clue 90 over 90 of them
that same family member also mentioned
to me at one time she's got major
problems with ear ringing ears
tinnitus tinnitus depending on how you
pronounce it
and did you know that ringing ears
chronically ringing ears is a
significant
sign for significant prediabetes
so you know what if you don't know what
to look for
you don't think you've got it same thing
with
atrial fib vast majority of people
that have atrial fib at my level would
not know it had not have a clue
it's what I do for a living Bob Bell
Greg WD as Dr. Brewer mentioned
this same tech in the same lab can get
bg blood glucose variations 10 plus on
the same draw
thank you obviously Bob you
obviously
nailed it you got exactly what I was
trying to stumble through in that space
last week my Libre registered 75 at
the same time a blood draw measured
91 not at all confusing I mean
excuse me I didn't mean to say that not
at all surprising
and that's the kind of thing that you
have to be able to have them
the sense the
awareness the knowledge to work through
thank you so much for sharing that Bob
we get
so much confusion associated with this
issue this tolerance of errors and and
potential for errors
in the Freestyle Libre Greg Forbes
Xmas had quad bypass no signs ever
low cholesterol 120 for
30 years had type 2 for five years lost
70 pounds change diet off
insulin 100 units per day A1c is now 5.7
cholesterol is 98 do I need on statins
so Greg most people
put most docs go to recommend statins
based on
cholesterol level and most of them
look at
a hundred some of them a lot of them
look at and we're talking about LDL
cholesterol here
for those of you who are not aware
a lot of doctors look at 70 or below and
you can argue on which
guideline is more appropriate I don't
even I ignore those guidelines
because I'm not looking at cholesterol
level I don't base
recommendations for statins on a
cholesterol level
I base recommendations of statins on on
whether or not you have plaque
if you've had plaque you've had
inflammation
if you've had an event we know that
you've had both
or it appears that you've got plaque or
they wouldn't have done the
the bypass if you've got plaque I would
recommend consideration
of a statin and I know there's a lot of
statin haters out there I'm sorry about
that
you know what I'm a statin hater too i
knew I had plaque for about three years
before I actually started mine
and there have been times I tend to
attract a lot of statin haters
there have been times when over half of
my practice that had known plaque
we're still saying I don't want to take
a statin and my perspective was
okay I understand I was there too
no argument and we'd do the other stuff
that we knew
from more of a natural non-medication
perspective
thanks for sharing that your age that
you're 72 Greg
1957Kato it seems that beers and cheers
works hard
on to rise triglyceride beers are a big
deal
too many carbs thanks for answering my
question on LDL
triglyceride HDL ratio is 0.67
triglycerides 44 HDL of 69
good for you C Lear that is a great
number
you know you look up these numbers and
they'll say well depending on your
ethnic
background two three
come on you really need to have a goal
of one or less
and you know what there's a fella named
Chuck Smith
he did that we he did a couple of videos
on on that
shared with us he was a patient of Dr.
Caldwell Esselstyn
Esselstein and the other guys that
really hammer on getting fat out have
saved a whole lot of people don't
misinterpret this story in the comments
but he said Esselstyn kept saying get
more of that fat out get the nuts out
get this out get that
out he lost 50 pounds
and then he had a heart attack it's a
it was an exciting and "fun"
story if you didn't go through it he
said I was driving
I have a tesla I was driving it I was
going 50 miles 55 miles an hour
at Cocoa beach I knew I was having a
heart attack you know you hear this
story about
a heart attack is like an elephant
sitting on your chest it felt like a
whole
herd of elephants sitting on my chest
because of my history I had some nitro
tablets but they were in the back seat
I did not want to waste my time and take
the risk so I put the Tesla
in auto drive turned around to the back
seat
to get my nitros I got them
and they spilled all over the floor so
I turned around backwards picking up a
nitro
the car is driving me at 55 miles an
hour towards the hospital
he made it to the hospital he did fine
and guess what
to go back and why did I go down that
bunny hole so here's the
here's what started me on that story
Chuck after losing all those pounds on
50 pounds on a low-fat diet
and then having a heart attack obviously
got frustrated
so he started looking up channels and he
found mine and he said
so I found this thing about triglyceride
over HDL ratio
and I went and looked in my triglyceride
over HDL ratio
at the time that I had that heart
attack
having lost 50 pounds was still
between five and seven
five and seven no wonder I had a heart
attack
so and as you look at it you start
getting into the science
many many studies have shown that
triglyceride over HDL
is a much stronger indicator of risk for
heart attack
than LDL level I know I'll get a few
haters from making that comment but you
know what it's in the science
go look at the science go read it thank
you so much C lear for sharing that
it's a great uh opportunity for another
bunny hole
Shakir M thanks Dr. Brewer thank you for
your interest Shakir
Bill Clifford could taking low-dose
statin cause an increase in triglycerides
it's possible mine was 63 years
I'm what 63 year old ago
now 122 oh mine was 63 a year ago and
now 122 only change in meds was using
low dose
statin Crestor well one of the two of
the
bigger questions I have Bill would be
what's your diet have you started adding
carbs back in and
have you gained 10 20 pounds both of
those can have a very significant impact
there
if
not sure what that means haters
everywhere
oh isn't that the truth you know in fact
I finally ended up
slowing way down on our daily COVID-19 the
videos because the haters just started
coming out in droves
what happened I think was they found
they found out that the COVID-19
virus just finds out how which way
you're voting before it attacks you
pardon the sarcasm Richard
Martel Doc you made an
honest mistake nattokinase like K2 both
are derived from the natto bean
serrapeptase enzyme is from a moth or a
caterpillar well thank you so much for
the correction
and I'm not oh oh you say the
the mistake was natto bean as opposed to
soybean
actually you can make
nattokinase
unless I'm mistaken and I very well
could be because I'm not a natto
oh I see what you're saying
nattokinase is also made from the
fermented beans
very interesting Richard thank you so
much for sharing that
and I would say I don't think it's
just natto beans I think they're
you've seen it with black beans
soybeans
natto beans and others but thank you so
much for clarifying that PrevMed
reducing calcium scores impossible
Enterprise Lieutenant
everything was impossible until it
wasn't uh
Captain Picard reducing calcium
okay thank you for your response
that was from Jim Clark Kevin Gold would
low-dose aspirin
maybe half of a baby aspirin counteract
the effects of K7
K1 again K1 gets
gets into the impact of bleeding and
that's what
baby aspirin is about it's deep it's
decreasing your coagulation it's an
anti-platelet thing
it doesn't really decrease coagulation
it decreased platelets
that's maybe an over technical
differentiation it makes a
difference in terms of the medicine
itself but
probably not worth diving into today
John Tocho I've won two Libre buttons during
August and they gave very close to the
same results that's why I posted the
average for the money
now on the third Libre button and still
the same range of readings well thank
you very much John and yes you're right
you can get great extremely practical
information yes it's got problems but
here's the thing
would you rather fly blind that's what
we're doing
on something that is important as it is
as
important as blood sugar when
it is the it's the thing that tells
us whether or not we've got
the major risk factor for the number one
cause of death heart attack
the number one cause of permanent
disability stroke the number two cause
of disability
Alzheimer's the number one cause of
of kidney disease the number one cause
of blindness
and we're comfortable walking around not
never most of us
never knowing what our blood sugars are
come on
Gaile716 would you share about your
type of plaque you had
successful reduced was it concentric or
eccentric
you know I did not get that kind of I
did not get a that's you usually get
that more with a an intravascular CIMT
I mean an intravascular IMT
unless I'm mistaken you don't really get
really good
clarification on concentric versus
eccentric
on the others now you can but that's
not what you
usually get from a CIMT and for those of
you
who where this is sort of like gibberish
I'm probably going to leave it at that
and move on 3b_balls I take 10k
D3 per day my D3 levels are in the 80s
usually
I tried K2 before but it made my chest
tight cramped so I stopped
should I try to take it again yeah you
know what
I cannot help but remain a little bit
skeptical that that caused it
so I would try it a couple of times just
to confirm just out of curiosity if
nothing else
Bart Robinson Doc you said K1 is a
blood thinner
I'm sorry thank you so much
if you guys will please do that fact
check me
because sometimes when I get going
my brain goes that way it went just the
opposite just as you said
K1 helps the body clot
that's where it came from coagulation
factor coagulation
in German
so it's not a blood thinner the vitamin
the K1 antagonists
are medications that
cause blood thinning by decreasing the
action
of vitamin K1 heparin
warfarin those medications are K1
antagonists thank you so much Bart for
helping me clear that up
thoughts on the calcium score test it's
a great test you know
it's very interesting people think that
I'm only into the CIMT and I'm not
on a practical day-to-day screening
basis
I don't think people should try to
get a CIMT and
unless they know where they're
getting
most CIMT techs don't know how to do
it most
CIMTproviders don't know how to do
it well
but the technology for
calcium score is fantastic it's
very very easy to
regulate it to make sure that what
this person gets is the same thing for
the next person the next person the next
standardizable that's the word I was
looking for CIMT
has huge problems with standardization
calcium score does not so I'll use
calcium score a good bit especially when
we don't have access to a good CIMT
Ibithaj eating meat at night causes
insomnia for young people which is a
sign of
do I have thoughts on that I will say
this Ii mean you look at the science
eating late before you go to bed
is not healthy Dlb belly fat what is
number one thing you can do to
significantly reduce
that's a really good question they're
clearly
clearly not just loss of weight and
caloric restriction you tend to get loss
of fat in other areas first
low-carb diets have shown significant
probably more
impact than anything else exercise and
low carb diets
Rook Stockpicker they concluded that
92 percent of people with high
cholesterol level lived longer and
called for a re-evaluation of the
guidelines
yes now the question is who is day
abeer dear nadal clearly one of them is
the cardiologist that you see talking
about that a lot
Mary LaBorde wow thank you for that
information I did not know that K2 would
also help
and decrease insulin resistance that's a
great bonus thank you again for all your
hard work thank you so much Mary for
your interest
and guys we have gone way over and it's
because we had so much interest
and because I had a little bit of
flexibility with my
time today actually I've got a patient
coming up soon so I'm going to have to
jump
off this is our last comment Ramesh
Kumar best time to take K2 supplement
Doc
I don't think there is a best time i
think you can take it in the morning
take it at night take it in the
afternoon and
it doesn't matter thank you so muchRramesh thank you so much
to the rest of you for your interest
it's a lot of fun
when you get that kind of interest
