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April 9, 2021 - Dennis Prager Show
04:54
Dr. Michael Richman on Why Normal Cholesterol Testing Is Flawed
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I have a guest, a man I have not had on the show, I don't know, about five years?
Is that fair to say?
Seven years, Dr. Richman.
Let me very quickly say, Dr. Michael Richman, who is a board-certified cardiothoracic surgeon and general surgeon, now he's the founder of PaladinMDs, paladinmds.com.
He's a patient advocate.
But the reason I'm having him on is, first of all, I have talked to you about health all of my career, whatever insight I could bring.
In the beginning of my career, I told you carbs, not fat, was dangerous.
I was a pretty lonely voice, but I was right.
The government was wrong in its stupid pyramid.
But as a rule, Ronald Reagan was right.
The worst things you could hear are the government is here to help you.
Is that his famous statement?
Sometimes it's true and it works, but not usually.
Dr. Richmond was my doctor when he was practicing medicine directly with patients, and I believe, you can't prove it, but I believe.
He prolonged my life, and I thank God, very healthy.
He knows his stuff, and what I recommended to you was something he made me aware of, and that is the erroneous way in which people's cholesterol is counted or measured.
Dr. Michael Richman, welcome back to The Dennis Prager Show.
I'm so glad to be back.
It's been a long time.
Say it again.
I'm sorry.
It's been a long time.
I'm so happy to be back.
Yes, indeed.
It is good to have you.
So explain in your inimitable way what the cholesterol count is wrong about.
Okay, well, first of all, I want to say, even though I haven't been on in seven years, I still have your loyal followers.
I probably get three a month calling me and saying, you saved my life or you saved Dennis's life.
I want you to save my life.
So it really stuck, all those shows we did.
So basically what the issue has been for years, it was first described in 1961. In a paper titled, Triglycerides, Coronary Artery Disease, and Lipoproteins, that we should not be measuring the fat content in the blood.
We should be measuring the transport vehicles.
Because, obviously, oil and vinegar don't mix.
So blood is the vinegar, cholesterol is the oil.
So they don't mix.
You can't get them together.
together.
So the body ingeniously packages the cholesterol inside of particles, and those particles drive the cholesterol around the body.
So if you remember the analogy I made years ago, we measure the people in the cars, but you need to be measuring the cars, because it's the cars that traffic the cholesterol throughout the body.
The definition of LDL cholesterol, the traditional way, is simply the amount of liquid cholesterol And a deciliter of plasma.
So take a little bowl and put cholesterol in it.
How does that help you?
Because it's not soluble.
So we still measure the number of people in the cars and not the cars.
And now it's even become more mainstream.
It's become more accepted because, if you remember, there were only a couple labs doing it.
Now LabCorp bought The technology, the NMR, people can get it everywhere.
So technically, I can provide guidance and take care of people everywhere now.
And it has been shown that normal cholesterol testing misses about 50% to 60% of the variability in the population.
So that means 50% to 60% of the people, like you, were told they had normal cholesterol and didn't.
Because they were counting the passengers and not the cars.
Correct.
And now, because more labs are measuring lipids, that's the term, correct?
Of the cars.
Lipoproteins.
Lipoproteins.
What's the difference between a lipoprotein and a lipid?
Lipid is just a general term for fats.
The lipoproteins are the...
Proteins that are made in the body that traffic the cholesterol through the body.
Alright, we're going to continue with Dr. Michael Richman.
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