Question:

My husband and I had a proactive cardiovascular wellness check up through our local hospital. He was diagnosed with Metabolic syndrome, Obesity, and Hypertension.  I have pre-Hypertension, and my Lipoprotein A is 125.  We then chose to start an Ornish-style plant-based diet, but were actually advised to eat meat,and eliminate grains and sugar, being told "Carbohydrates are your problem."  That just sounds like a backdoor to the Atkins diet.  Help us unravel contradictory info so we can follow a well-planned diet!

Answer:

My approach, as the only certified heart attack prevention MD in Michigan, is to clearly define the disease in the arteries via CT screening imaging of the heart, and carotid ImT ultrasound.  Then a hunt for inflammation, insulin resistance and other root causes is pursued. A diet without animal products that is low in oil and added sugars is the only proven diet to reverse disease. 

Joel Kahn MD

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