Blog Archive

What are Chronic Diseases and can #MAHA Help? Nov 29th, 2024

For the first time in my memory, public policy out of Washington, DC is focusing on the root causes of poor health, health expenses and longevity. It appears that Robert F. Kennedy, Jr will lead this important effort under the head ing of MAHA or Make America Healthy Again (#MAHA)....

Can a Plant Diet Make Your Healthier and Save You Money? Nov 22nd, 2024

A whole food plant diet has over 70 years of data to support its ability to prevent and reverse disease and aging. Why isn't everyone eating this way? One concern is that this diet is too expensive. A new study analyzed a standard diet costs versus a low-fat vegan diet...

The Risk of Inheriting Lp(a) Cholesterol Persists Even if LDL-C Is Low Nov 15th, 2024

Many patients schedule a visit to the Kahn Center (office or virtual) because they have learned they inherited a cholesterol molecule called Lipoprotein(a) or Lp(a). This particle, Lp(a), is found in 20-25% of people and can promote damage to blood vessels and the aortic valve leading to heart attacks, strokes,...

Sauna Bathing for Happiness and Better Sleep Nov 9th, 2024

The basics of cardiovascular health (CVH) remain a whole food, plant-based diet, fitness, avoidance of smoking, and adequate sleep. Beyond these pillars, sauna bathing has a suprising large amount of research to support its role for CVH. I have had a full spectrum infrared sauna (Sunlighten Saunas) in my home...

The PROLON Fasting Mimicking Diet: Data for Kidney Protection Nov 1st, 2024

At the Kahn Center for Cardiac Longevity, we have a toolbox that is broad and includes food based approaches. For over 7 years, one of those tools has been the PROLON 5-day Fasting Mimicking Diet (www.prolonlife.com/drkahn). There are many research and clinical trials demonstrating the benefits of this science backed...

How Long Can You Stand on One Leg? A Measure of Longevity Oct 25th, 2024

Longevity is increasing worldwide due to improvements in healthcare and living standards. Aging is often associated with disability and multiple health concerns. To address these challenges, effective interventions are essential. Good balance, muscle strength and an efficient gait contribute to people's independence and well-being as they age. How these factors...

How Does Menopause Impact a Woman's Heart Health Oct 18th, 2024

As many women suffer and die of cardiovascular diseases (CVD) as men but may get less attention in general (not at the Kahn Center for Cardiac Longevity. The American Heart Association (AHA) is celebrating its 100th anniversary of education the public and is emphasizing women's heart health amongst other topics....

Can a B-vitamin (Benfotiamine) Improve Memory and More? Oct 11th, 2024

In my preventive clinic, the focus is long-term cardiac but cancer, diabetes, and dementia risk is reviewed. A largely ignored pathway of disease known as advanced glycation end-product (AGEs) accumulation is a focus as the Kahn Center as it leads to all major chronic diseases. We now measure AGEs at...

Why We Track Your Atherosclerotic Plaque at the Kahn Center: It Matters a LOT! Oct 3rd, 2024

In the 1600's, the leading physician in England (Thomas Sydenham, MD) wrote that "A man is as old as his arteries".  We would now change that to "A person is as old as his or her arteries" but Dr. Sydenham's viewpoint has proven to be accurate and visionary. At the...

If All You Can Do is Be A Weekend Warrior, Your Heart Will Thank You Sep 27th, 2024

The official recommendation of achieving at least 150 minutes of moderate-to-vigorous physical activity per week is associated with lower risk of adverse cardiovascular events and represents an important public health priority. Many people have schedules that make it difficult to get to the gym or work out at home during...

Can Being Happy Make You Healthier? The Power of Being Content Sep 20th, 2024

The Rolling Stones sang the phrase "I can't get no, satisfaction" and many of us still rock to their music. However, with cardiovascular diseases (CVD) remaining a leading global health concern, does "satisfaction" have anything to do with heart disease and outcomes? The role of well‐being in reducing CVD risk...

Can Raw Vegetables Keep You Thin and Healthy? Sep 13th, 2024

The notion that plant-based diets are optimal for health and prevent cardiovascular disease (CVD) goes back at least to the 1950's. Yet, "food wars" still exist with some denying the power of plant diets. More data is needed and an emphasis on raw vegetable consumption is of interest. A new...

The Big 3 Lab Tests You Must Have: Women and Men Sep 6th, 2024

At the Kahn Center for Cardiac Longevity, all patients either bring extensive lab testing or they arrange, in the clinic or at a distance, a large panel of lab tests that are predictive of heart disease, its causes, and its implications for the future.  For years, this panel has included...

Bitter Plant Foods (eg. arugula) Suppress Appetite, Weight and Diabetes Risk Aug 30th, 2024

The language of food science, particularly plant science, can be intimidating. One word that recurs over and over is polyphenols.  What are they and why are they important? Where are they found in the diet? Polyphenols are a type of chemical naturally occurring in plant-based foods like fruits, vegetables, whole...

Putting the Potato Back On Your Plate: A Longevity Food Aug 24th, 2024

The "low-carb" movement (ketogenic, Paleo, carnivore diets) have given potatoes a bad name. Even the Harvard School of Public Health does not list them as a healthy food, undoubtedly because so many potatoes are eaten as french fries, not simply boiled or baked. Other advocates, particularly, the recently deceased John...

Getting Fats From Plants Boosts Your Lifespan! Aug 16th, 2024

The optimal amount of dietary fat and the kind of dietary fat intake on long-term human has attracted major attention, debate, and disagreement between health experts, to say the least!  More data is welcome on whether fats are healthy and what kind of fats are healthiest. A new large study...

Does Your Artificial Sweetener Cause Blood Clots? Aug 9th, 2024

One of the most frustrating events at the Kahn Center is to evaluate a patient with a heart attack or stroke history and not find a "major" risk factor like Lipoprotein(a) or a high homocysteine. Of course, all traditional risk factors like smoking are evaluated too. Stanley Hazen, MD of...

Was the Paleo Diet A Plant-Based Diet: New Data Says Yes Aug 2nd, 2024

The Paleo diet is designed to resemble what human hunter-gatherer ancestors ate thousands of years ago. It is also called an ancestral diet and a Caveman diet. It tends to be a meat heavy diet, and some promote "beef, butter, bacon, and eggs" as the key components of a proper...

Does Hormone Replacement Therapy HRT Protect The Female Brain? Jul 27th, 2024

At the Kahn Center for Cardiac Longevity, we spend considerable time discussing memory and longevity with all patients, including the female patients, and often recommend hormone replacement therapy or HRT. Many do not know that females represent approximately 70% of the Alzheimer's disease (AD) cases and the literature has proposed...

How Fast Does Aortic Valve Stenosis Progress: The Lipoprotein(a) Factor Jul 19th, 2024

At the Kahn Center, we see many patients for evaluation of their coronary heart disease (CHD) and aortic valve stenosis (AVS) from a calcified valve. For over a decade, a routine lab test has been to measure Lipoprotein( a) or Lp(a) in all patients. Lp(a) is an important inherited factor...

Does a Vegan (Pro)-Collagen Supplement Improve Skin Health? Jul 13th, 2024

A common question at the Kahn Center centers on the role of collagen supplements for skin and hair health, artery health, and bone health. Most collagen supplements are made from animals like cows and we do not recommend those. There has been limited science of vegan options There is a...

Does a Vegan Collagen Supplement Benefit Skin Health? Jul 13th, 2024

A common question at the Kahn Center centers on the role of collagen supplements for skin and hair health, artery health, and bone health. Most collagen supplements are made from animals like cows and we do not recommend those. There has been limited science of vegan options There is a...

Hopping for Bone Health: The Power of High Impact Activities Jul 5th, 2024

Although our focus at the Kahn Center is the prevention of heart disease, the integrative approach we takes strives for total body health. Bone health shares many features with heart health (exercise, healthy diet, optimal weight, limited alcohol, supplements, and good sleep to name a few). The loss of bone...

If You Eat Healthy for the Planet, Do You Also Eat Healthy for the Human? Jun 28th, 2024

In 2019, the EAT-Lancet Commission gained headlines worldwide when it proposed a healthy dietary pattern that, along with reductions in food waste and improved agricultural practices, could feed the increasing global population sustainably. Now a Planetary Health Diet Index (PHDI) has been developed to quantify adherence to the EAT-Lancet reference...

TMAO and Fish: The Data Is In For a Heart Unfriendly Metabolite Jun 21st, 2024

Back in 2018, I appeared on the Joe Rogan Podcast (Episode 1175) and spent nearly 4 hours debating nutrition with Chris Kresser. He brought up some data that fish have TMAO in them, fish are considered heart healthy (debatable), and therefore plant diets are not the best choice. There was...

Soybeans and Cabbage: How to Get Choline In Your Vegan Diet Jun 15th, 2024

While a whole food plant diet is the recommendation at the Kahn Center, the science of certain nutrients like creatine and choline is discussed with patient and strategies to eat or supplement some nutrients may important for optimal health. Choline, an indispensable nutrient, plays a pivotal role in various physiological...

A Whole Food Plant Diet and Lifestyle Can Improve Memory in Early Alzheimer's! Jun 8th, 2024

Althought heart disease impacts many more people than Alzheimer's Dementia (AD), people fear AD the most due to the loss of control and the deterioration in quality of life. Advances in reversing early AD have been slow and the medications are controversial at best. At the Kahn Center we discuss...

Can the MED Diet Save the Lives of Women? Jun 1st, 2024

At the Kahn Center, we stress education on nutrition on every visit and provide a list of documentaries, books and podcasts to study at home. While the emphasis is a whole food plant diet (healthy vegan), information on the Mediterranean (MED) diet is also provided due to a large body...

Are Fish Oil Supplements a Good Idea? It is Complicated May 25th, 2024

At the Kahn Center it is routine to measure and Omega Index and a large percentage of patients are very low in Omega-3. This is true of those following a vegan diet and those on omnivore diets. Many patients are seen already taking some kind of Omega-3 supplements, usually fish...

Why You Must Know Your Heart Calcium Score: Predicting Overall Health May 18th, 2024

There is much interest in strategies to address aging and prolong lifespan and healthspan. An industry has grown up of tests offered to measure "biological age". These usually involve samples of blood or cheek swabs. A prior study indicated that the widely available coronary artery calcium score (CACS) done by...

Extra Virgin Olive Oil: Can It Reduce the Risk of Dementia? May 10th, 2024

Although heart disease takes many more lives than dementia, people search for advice on avoiding dementia and express fear over developing dementia more frequently than efforts to prevent heart disease. Clues to delaying and preventing dementia are needed and diet may play a role. Can extra-virgin olive oil in the...

Anger and Your Heart: More Reasons to Learn Some Ways to Chill Out May 4th, 2024

Everyone has heard of someone angry, yelling and then drops over dead. Why? Provoked anger is associated with an increased risk of cardiovascular disease events. The underlying mechanism linking provoked anger as well as other core negative emotions including anxiety and sadness to cardiovascular disease remain unknown. The study objective...

Green Tea: A Boost for Cognitive Function Apr 27th, 2024

In discussions with my patients at the Kahn Center for Cardiac Longevity, a routine question is asking about memory and cognitive function. It is surprising how often the response is one of concern over failing memory. Simple approaches to enhancing cognitive function are needed.  Roasted green tea, also known as...

Atrial Fibrillation: Lifetime Risk and the Risk of Stroke and Heart Failure Apr 20th, 2024

Atrial fibrillation (AF) is a specific kind of irregular heart beat that can be silent or symptomatic and impacts millions of people. We see many patients with AF at the Kahn Center for Cardiac Longevity, some of whom are in AF chronically and some go in and out of it...

Chelation Therapy Fails to Improve Outcome in Heart Disease: The TACT2 Trial Apr 12th, 2024

Chelation therapy is an intravenous (and occasionally oral or rectal) therapy to remove toxic levels of heavy metals like mercury, lead, arsenic, and cadmium from the body and is approved for that purpose. Over many decades there has been the thought that it could serve as a therapy for heart...

Why You Must Know Your Lipoprotein(a) Blood Level: A New Statement of the NLA Apr 5th, 2024

The lipoprotein(a) [Lp(a)] field is rapidly evolving on many fronts, including understanding of the association between Lp(a) levels and cardiovascular disease (CVD) risk in different contexts, and how best to manage other CVD risk factors in patients with elevated Lp(a). Considering new insights into the clinical management of these patients,...

Are Viagra and Cialis Anti-Aging Agents? Two New Studies Say Yes Mar 29th, 2024

One of the most interesting stories in pharmaceuticals is the development of Viagra (sildenafil) as a heart medication that had an unexpected but happy side effect: effective treatment of erectily dysfunction (ED). Viagra and Cialis went on to become blockbuster drugs that are both generic now.  Over the years, these...

Can a Healthy Diet Slow Aging and Reduce Dementia Risk? New Data Says Yes Mar 22nd, 2024

The risk of aging and developing memory loss and dementia is often a greater fear expressed by patients in my clinic than heart disease or cancer outcomes. Strategies to prevent memory loss are evolving but it is clear that regular exercise and healthy diets, along with adequate sleep and weight...

Can a Seaweed Combination Capsule Help Reverse Atherosclerosis? Mar 16th, 2024

There has been hopeful data for over 30 years that atherosclerosis in coronary and carotid arteries may be reversed to an extent by lifestyle measures focused on a plant diet.  A "new kid on the block" has been a nutraceutical based on green seaweed combination. Recently, a small study has...

Why Heart Patients Must Have a Home Sleep Study: The Brain and the Heart Mar 9th, 2024

At the Kahn Center, we emphasize lifestyle and corrective measures to promote health and prevent or reverse illness. One factor often ignored is the quality and quantity of sleep. Sleep apnea has become a major factor for cardiovascular and overall health and is easily tested at the Kahn Center by...

A Common Question: Do Statin Cholesterol Medications Cause Dementia? Mar 2nd, 2024

One of the most common concerns patients share with me at the Kahn Center is their fear that lowering their cholesterol levels with "statin" medications like atorvastatin or rosuvastatin might promote dementia.  Indeed, the potential impact of statins on cognitive decline and dementia is still debated but their is considerable...

Is There Still a Role for Niacin in the Treatment of Dyslipidemias? Feb 25th, 2024

The news cycle this week is full of headlines connecting high levels of niacin to coronary heart disease through pathways of accelerated inflammation based on a new study from the Cleveland Clinic Foundation. Although many clinicians have abandoned the use of niacin in practice, there are many theoretical and trial...

Can the Fasting Mimicking Diet Lower Your Biological Age? The Science Says Yes Feb 23rd, 2024

It is no secret that various fasting programs show up in the news over and over. When I discuss diet with my patients, a large number of them skip breakfast and try and eat in a 6-8 hour window. Technically, this is not fasting but a form of "time restricted...

Are Plastic Bottles and Packaged Foods Poisoning Your Arteries? YES Feb 17th, 2024

It is estimated that we are exposed to over 80,000 industrial chemicals with only a small fraction having been studied for health consequences. One family of chemicals that has been studied is the bisphenol family such as BPA and BPS, used since the 1950s. BPA and BPS  have been reported...

Need a Lower Blood Pressure? Try Tai Chi for Benefits Feb 10th, 2024

Prehypertension, defined as systolic blood pressure (SBP) of 120 to 139 mm Hg and/or diastolic BP (DBP) of 80 to 89 mm Hg, increases the risk of developing hypertension and other cardiovascular diseases. Early and effective intervention for patients with prehypertension is highly important. STUDY OBJECTIVE  To assess the efficacy of Tai...

Garlic, Greens, and Beets for Sustained Nitric Oxide Production Feb 3rd, 2024

The researchers who identified Nitric Oxide (NO) as a small molecule made by the endotherlial lining of arteries to promote blood flow and resist atherosclerosis won the Nobel Prize in Medicine in 1998. Despite that, NO rarely comes up in clinical care as it is hard to measure and no...

Does the Inheritance of Lipoprotein(a) Cholesterol in Patients with Bypass Surgery Matter? (YES) Jan 27th, 2024

A large portion of the patients seen at the Kahn Center are interested in learning if they inherited the genetic capacity to produce Lipoprotein(a) or Lp(a) or "the sticky cholesterol". Others know they inherited it at a high level and seek guidance. As you know, I wrote a book on...

Can You Reverse Artery Calcification With High Dose Vitamin K2? Not Really Jan 20th, 2024

It is so frustrating that coronary artery calcium scoring (CACS) has been available for decades, is safe, painless, and inexpensive, and reveals the degree of silent coronary artery disease (CAD) but so few people have one of these scans. Primary care doctors are still not ordering them even though most...

Best News: Dark Chocolate Proven to Reduce Hypertension Risk! Jan 13th, 2024

Does anything that takes good actually promote health? I would answer yes as I love lentils, chickpeas, kidney beans, arugula and many other plant based goodies. But off the list is pepperoni pizza, hot dogs, croissants, and butter. The good news is that a new analysis in a prominent journal...

A Vegan Diet Lowers "Biological/Epigenetic Age" In Just 8 Weeks Jan 6th, 2024

There are hundreds of research studies identifying the benefits of a whole food plant-based (WFPB) diet. The holy grail would be if a WFPB diet actually slowed or reversed aging. New science has been published that suggests this may be the case and in only 8 weeks. The research study...

Are You A Night Owl? You May Be Doubling Your Risk of Heart Disease Dec 29th, 2023

I take a sleep history from all patients cared for at the Kahn Center and it is impressive how many patients have a habit of staying up to midnight, 1AM, or even later night after night, the classic night owl. Not for me, lights out by 10PM or earlier. Does...

The Vegan Cardiologist on a Mission to Prevent Million Heart Attacks: Meet Joel Kahn Dec 23rd, 2023

I am reposting a recent interview from this site to share the questions and answers for this audience.  What do you get when you combine veganism, cardiology and prevention? You get a holistic cardiologist passionate about the health benefits of a plant-based, anti-ageing diet. Join us in learning more about...

Are You Skipping Breakfast? Eating Late? You May Want to Reconsider Dec 16th, 2023

Cardiovascular diseases (CVD) are the leading cause of death in the world with around 20 million deaths annually.  Diet plays a major role in the development and progression of these diseases. The timing of meals may also play an important role. So many people are skipping breakfast and not eating...

Poor Sleep Quality at Menopause Impacts Cardiovascular Health: Get Help Dec 9th, 2023

The easiest way to assess sleep is to measure how many hours of sleep were achieved but that may not be the only measure that matters. Menopause can be particularly disruptive for sleep for many women. In the American Heart Association's Life’s Essential 8 (LE8) the only measure of sleep...

Can 8 Weeks of a Plant Diet Lower Weight, Cholesterol and Insulin? A Twin Study Says Yes! Dec 2nd, 2023

Are you considering a health upgrade for 2024? Adopting a plant-based diet of whole foods may be your best choice. Need some convincing? Wondering what are benefits of a healthy plant-based (vegan) vs a healthy omnivorous diet among even for just 8-weeks?  A new study provides the answer and suggests...

Referrals for Cardiac Rehabilitation Are Too Low Despite Major Benefits Backed by Science Nov 25th, 2023

I served as medical director of several large cardiac rehabilitation (CR) programs in Michigan and have a special place in my heart and practice for getting all qualifying patients into a CR program. When I can, I try to refer to an intensive CR program or ICR using the principles...

For the Millionth Time: Eat Plant Foods for Health and Longevity Nov 17th, 2023

If you have heard it once, you have heart it a million times: whole plant food diets are the healthiest choice on the planet and for the planet. As Michael Greger, MD says, if all that whole food plant diets did was halt and reverse the #1 cause of death...

Semiglutide (Wegovy) in Overweight Non-Diabetic Heart Patients Slashes the Risk of Death! Nov 11th, 2023

The approach to patients with established coronary artery disease (CAD)has been make progress including lifestyle, supplemental, and Rx approaches but more "tools" in the tool box are still needed. The explosion in overweight and obese heart patients is a major challenge. Semaglutide (knows as Wegovy for weight loss), a glucagon-like...

The Portfolio Diet: An Older Eating Plan with New Support That You Should Try Nov 4th, 2023

BACKGROUND You’ve heard of the Atkins, MED, vegn, Paleo. Keto, and DASH diets over the years but have you heard of the Portfolio Diet? A prior Kahn Center blog did discuss this diet pattern. Now, America’s most influential journal for heart health is exploring the benefits of the portfolio diet. ...

Want a Better Brain as You Age? Eat a Plant-Based (DASH) Diet Oct 28th, 2023

The potential implications of delaying or preventing memory issues and cognitive decline for the roughly 6.5 million Americans over 65 diagnosed with Alzheimer’s as of 2022, a figure expected to more than double by 2060, are huge. Diet plays a role. A popular diet is the Dietary Approaches to Stop...

Do the Two Top Statin Medications Have Different Diabetes Risks? Oct 21st, 2023

For many patients with a high LDL-cholesterol and confirmed atherosclerosis (prior heart attack, stent, bypass surgery, carotid surgery, abdominal aneurysm high calcium score, abnormal coronary CT angiogram), lifestyle changes along with medications to lower the LDL-C are indicated. Statin medications are the most common prescription to lower LDL-C but they...

Red Meat Consumption, Heart disease, and Diabetes: The Largest Study Ever Says Beware Oct 14th, 2023

You would think we would know by now what is the optimal diet for health and longevity but the "food wars" are endless. One reason is that nutrition science is very complicated and randomized studies (like the Predimed and Cordioprev trials) are difficult and rare. Much of the science is...

How Type 2 Diabetes Robs Young People of Years of Life: Prevent and Reverse! Oct 7th, 2023

TYPE 2 DIABETES MELLITUS IS A KILLER The prevalence of type 2 diabetes (DM2) is increasing rapidly, particularly among younger age groups. Estimates suggest that people with diabetes die, on average, 6 years earlier than people without diabetes.   A new large study aimed to provide reliable estimates of the...

Skip the Elevator: Walk 5 Flights of Stairs and Slash Heart Disease Risk Sep 30th, 2023

Without a doubt, fitness, endurance, and exercise is a fundamental step in long-term health. A concept was introduced a few years ago called NEAT or non-exercise activity thermogenesis, or movement and fitness in daily life, not the gym, that matters for health. Climbing stairs, rather than the elevator, is one...

Can You Eat Nuts (Almonds) on a Weight Loss Diet and Succeed? Sep 23rd, 2023

Globally, more than 1.9 billion adults are overweight (650 million with obesity). In Australia, where new research on weight loss diets was just completed, two in three people (approximately 12.5 million adults) are overweight or have obesity. Can nuts be part of a weight loss diet?  When it comes to...

Do You Have Sleep Apnea? Found Out as New Data on CPAP Therapy is Exciting! Sep 16th, 2023

A recent study found that about 50% of a random sample of adults in the USA had moderate to severe sleep apnea on sleep testing that was previously undiagnosed. This huge number is due in part to the rise in obesity. Some patients resist sleep studies and even more diagnosed...

Added Sugars in the Diet, not Fruit, Related to Increased Risk of Heart Disease Sep 9th, 2023

One of the great debates for decades has been what nutrients cause atherosclerosis like coronary heart disease (CHD). The major players argued back and forth have been saturated fat, mainly from animal foods, versus dietary sugars. Most studies have shown both are a risk with saturated fats found in dairy,...

Amazing: Even a Small Reversal of Heart Disease has Big Benefits Sep 2nd, 2023

The landmark research of Nathan Pritkin, Dean Ornish, MD, Caldwell Esselstyn, MD, Joel Fuhrman, MD and others has demonstrated the potential to reverse atherosclerosis in heart arteries using diet and lifestyle. The goals of reversing atherosclerosis is not commonly mentioned in conventional medicine however. A wide range of pharmaceutical agents...

Long-Term Aspirin After a Heart Attack Reduces Future Heart Attacks: New Data Aug 25th, 2023

If you follow the headlines, messages to the public about the value of taking a daily aspirin have been very confusing. A series of studies in 2018 showed that in a healthy adult, a daily aspirin did not confer a measurable benefit to cardiovascular health.  Last year, the U.S. Preventive...

Want to Slow Your Aging? The Science Says Eat a Healthy Plant Diet Aug 18th, 2023

As my clinic is the called the Kahn Center for Cardiac Longevity, there is a focus on the science of healthspan and lifespan. Measuring and halting or reversing vascular (arterial) aging is a key feature of our daily practice at the clinic. Therefore, hew scientific studies that point to strategies...

How You Can Step Your Way to A Longer Life Free of Heart Disease Aug 12th, 2023

A fundamental habit for optimal health, longevity, and freedom from heart diseased is regular physical activity. Walking is the most common natural fitness habit across the world, whether as part of an occupation or soley for the purpose of health goals. It is possible people might be discouraged from walking...

Why I Use 2 Drug Combination Therapy at Low Doses for Cholesterol Lowering Aug 4th, 2023

High doses of cholesterol lowering statin medications are strongly recommended in patients at very high risk (VHR) of atherosclerotic cardiovascular disease (ASCVD). However, concerns about statin-associated adverse effects result in underuse of this strategy in practice. At the Kahn Center, for years we have selected low dose combination therapy in...

8 Clues to Living Over 20 Healthy Years Extra Jul 29th, 2023

Chronic diseases like coronary heart disease (CHD), diabetes mellitus type 2 (DM2), cancers, and dementia are associated with over 80% of all healthcare costs and are the dominant cause of morbidity and mortality in the United States (US). Lifestyle medicine has been proposed as a potential way to address the...

What is Good for the Heart is Good for the Brain: 6 Lifestyle Tips Jul 21st, 2023

Did you know that 75% cases of cardiovascular disease, such as heart attack and stroke events, are preventable? Even the feared Alzheimer’s dementia is proving to be preventable and reversible with putting a healthy lifestyle at the center of attention. Poor blood supply to the heart is as avoidable as...

WHAT DO I DO WITH MY HIGH CORONARY CALCIUM CT RESULTS: A GUIDE Jul 15th, 2023

My hope is that in many decades my tombstone will say "he convinced the medical system to screen for early and silent heart disease". While we strive to identify asymptomatic breast, colon, uterine, and prostate cancer, after decades of availability of inexpensive and safe heart CT scans, very few patients...

Lifelong Endurance Exercise in Men and Heart Plaque: An Unpleasant Paradox Jul 14th, 2023

The impact of long-term endurance sport participation (on top of a healthy lifestyle) on coronary atherosclerosis and acute cardiac events remains controversial.  Some reports in the last decade have indicated that endurance athletes may have more coronary calcification, perhaps from the repeated stress of long exercise sessions. A different composition...

How Healthy Are Your Teeth and Gums? It Matters for Your. Brain Health Jul 9th, 2023

The scientific support for the connection between GI health and systemic health of the heart and brain is growing rapidly. The GI tract begins in the mouth and oral health as a factor in overall health is well supported. More data is need. Although tooth loss and periodontitis have been...

Can Statin Medication Lower the Risk of Dementia? It May Be So in Patients with AFIB Jul 1st, 2023

Atrial fibrillation (AF) is a heart rhythm disorder that is linked to an increased risk of dementia, even in stroke-free patients. Many patients with atrial fibrillation take daily oral anticoagulant (OAC) medications like warfarin or direct-acting oral agents like Xarelto. Even with OAC medications, dementia is a risk.  The impact...

Olive Oil in Heart Patients: New Data for a Healthy Artery Response Jun 24th, 2023

A healthy lifestyle, including a healthy diet has been associated with an improvement in cardiovascular risk factors. Although olive oil (OO) is a tradtional component of the Mediterranean diet, their is some controversy over whether OO is acceptable in patients with coronary heart disease (CHD). The aim of a new...

Berberine and Bergamot: Two Powerful Plant Based Supplements with Scientific Support Jun 16th, 2023

Nature holds many secrets for health. However, Western medicine often takes a “prescription pill for every ill” approach to chronic disease. The root causes of illness — which can include lifestyle, genetics, infections and environmental toxins — are often passed over. In my integrative cardiology training, I learned to appreciate...

24-Hour Ambulatory Blood Pressure Monitoring (ABPM) Is a Must: New Data Jun 10th, 2023

Ambulatory blood pressure monitoring (ABPM) provides a more comprehensive assessment than clinic blood pressure, and has been reported to better predict health outcomes than clinic or home pressure. The Kahn Center is using ABPM patch that makes monitoring simple and comfortable. Does the extra information matter? STUDYThe study aimed to...

At Least 1 Out of 3 Diabetic Patients Have Silent Heart Disease: What to Know Jun 2nd, 2023

Coronary artery disease (CAD) is the number on killer of men and women. This is particulary true in patients with diabetes mellitus, a major risk for CAD. There is a long asymptomatic period for CAD when it is a silent disease so feeling good is not proof that there is...

Are Licorice Supplements a New Heart Disease Strategy: A New Study May 26th, 2023

Extracts of licorice root has been shown to reduce low-density lipoprotein (LDL)-cholesterol oxidation in mice and humans.  Licorice root is considered one of the world’s oldest herbal remedies and comes from the root of the licorice plant (Glycyrrhiza glabra). Native to Western Asia and Southern Europe, licorice has long been...

Plant-Based Diet for Hypertension: Should You Change Now for Success? May 20th, 2023

Hypertension, or high blood pressure, increases the risk of developing cardiovascular diseases like heart attacks and stroke. Diet is a modifiable factor that can be tailored to lower blood pressure, and therefore, research must be conducted to identify foods that would maximally benefit hypertensive patients. Large-scale studies such as the...

Women Develop Atherosclerosis Later in Life But the Risk is High May 13th, 2023

Atherosclerosis is the narrowing of arteries due to deposits of fat and cholesterol in what is called plaque, often called coronary heart disease (CHD). While young women do have heart attacks, in general, women develop CHD later in life than men and have heart attacks at an older age than...

Add HIIT Exercise Training to the List of Heart Disease Reversal Strategies May 6th, 2023

Strategies to REVERSE coronary artery disease plaques are sorely needed. Evidence for over 40 years has demonstrated that low-fat plant diets, mind-body practices, and exercise like walking, medication, and some supplements like aged garlic can all contribute to heart plaque reversal.  More reversal therapies are needed howevere. Coronary atheroma volume...

Top Ten Diets Rated by the AHA: Plant Forward Wins While Keto/Paleo Lose Apr 29th, 2023

For the first time, the American Heart Association (AHA) arranged a panel of experts who rated 10 popular diets based on their standards for heart health and just published their findings. The ten styles of diets included: DASH-style — describes an eating pattern that’s like the Dietary Approaches to Stop Hypertension (DASH)...

Diabetes Type 2 and Diet in 184 Countries: Guess the Best Food Group? Apr 22nd, 2023

Data from around the world from 2017 estimated that roughly 462 million people worldwide had type 2 diabetes (DM2) and that by 2030, that number will rise to over 540 million people with the disease. DM2 is a disease in which the body becomes unable to regulate blood sugar levels...

Want to Live Long? Aim High on the Life Essential 8 Score Early in Life Apr 15th, 2023

Cardiovascular disease rates have not dropped significantly and are contributing to a drop in overall lifestpan in the United States. Better means to judge and improve cardiovascular health (CVH) are sorely needed. The American Heart Association (AHA) recently released an updated algorithm for evaluating CVH—Life’s Essential 8 (LE8) score. Researchers...

Salt Intake in the Diet and Hardening of the Arteries: Are They Related Apr 7th, 2023

A high intake of salt raises blood pressure and the risk of cardiovascular disease. Previous studies have reported on the association between salt intake and carotid stenosis, but the association with coronary artery disease (CAD) has not been reported. STUDY PURPOSEThe present project was aimed at studying the association between...

Silent Heart Disease: How Common? How Dangerous? Now We Know Mar 31st, 2023

Background:  Coronary atherosclerosis, also known as coronary artery disease (CAD) and coronary heart disease (CHD),  may develop at an early age and remain asymptomatic and hidden for many years.  It is still not known how common silent CAD is in a general population and how risky it is.  Study Design:...

Weight Loss and Improved Control in Diabetes Type 2 With the Fasting Mimicking Diet Mar 24th, 2023

Novel fasting interventions have gained scientific and public attention. Periodic fasting has emerged as a dietary modification promoting beneficial effects on metabolic syndrome and the 5 day Fasting Mimicking Diet (Prolon) has the most scientific support. The original randomized trial was in healthy volunteers. Now a "proof of concept" study...

The Mediterranean Diet Prevents Heart Disease in Women: New and Strong Data Mar 18th, 2023

Dietary modification is a cornerstone of cardiovascular disease (CVD) prevention. A Mediterranean (MED) diet has been associated with a lower risk of CVD but no systematic reviews have evaluated this relationship specifically in women. As CVD is the number 1 cause of death in women, any progress in the prevention...

Need a Statin Rx but Cannot Take One? New Data for Nexlotol as a 2nd Choice Mar 12th, 2023

Cholesterol lowering (LDL-C) through lifestyle, supplements and prescription medications is necessary in many patients with proven atherosclerosis like a prior heart attacks or a high coronary calcium score on CT imaging. Many patients cannot tolerate a statin prescription due to aching, liver enzyme rises, brain fog and other issues. A...

Erythritol and Heart Disease: An Exciting and Sweet New Pathway to Explore Mar 4th, 2023

In 2011, researchers at the Cleveland Clinic led by Stanley Hazen, MD, Ph.D, published and elegant research study proposing that a metabolite called TMAO might be produced in the human body in part from meat and egg yolks and contribute to heart disease. From that single report, there is now...

Can You Use a Heart Calcium CT to Assess Therapy of an Elevated LDL-Cholesterol? Yes! Feb 25th, 2023

A group called SHAPE proposed in 2007 that some patients are so low risk that they do not need Rx cholesterol lowering medications like statins even if the LDL-cholesterol (LDL-C) was quite high. They suggested that a heart coronary artery calcium score (CACS) of zero bu CT was an indicator...

Refined Grains and Added Sugar (Think Donuts) Raise Heart Disease Risk Feb 18th, 2023

The "food wars",  like my appearance on the Joe Rogan Experience #1175, often focus on the risks of higher fats and the type of fats, particular high saturated fat diets, for cardiovascular diseases (CVD). For decades, added sugar has been related to higher CVD rates. Even Ancel Keys, PhD, noted...

Does Intermittent Fasting 2-3 Days a Week Drop Markers of Heart Disease? Feb 11th, 2023

One of the hottest trends in health promotion and the media is intermittent fasting (IF), properly defined as not eating or eating very little (fasting mimicking diet FMD) for 24 hours or more. IF extends healthspan and lifespan in rodents, and has been associated with metabolic benefits in humans, yet...

Does Lifelong Low LDL-Cholesterol (Genetic) Reduce Heart Risk? YES! Feb 4th, 2023

Importance  There are genetic variants that are inherited at birth and are associated with significantly lower low-density lipoprotein cholesterol (LDL-C) concentrations for life. These genetic "experiments" permit asking the question whether a lifelong lower LDL-C lowers the risks of coronary heart disease (CHD) like heart attacks. I published data like...

Can Long Term Use of PPI's Like the "Purple Pill" Harm Your Arteries? Maybe Jan 29th, 2023

Proton pump inhibitors (PPIs) are widely used drugs for gastric acid–related diseases and may affect the gut microbiome. Prior studies have raised the question of whether the risk of heart attack is elevated in long-term users of PPIs. Other studies have suggested endothelial damage to arteries from the same class...

Can You Reduce Your Need for Medication with Time in Nature? Yes You Can! Jan 21st, 2023

Forest bathing is a  term from Japan since the 1980s to describe a physiological and psychological exercise called shinrin-yoku by spending time in forests, green spaces, and by bodies of water. The purported benefits of forest bathing are actions as an antidote to tech burnout and to reconnect with nature....

Does the Risk of Early Death Go Up With Skipping Meals? Maybe Jan 14th, 2023

Few dietary trends are hotter than "intermittent fasting" or skipping meals and eating in restricted time windows on a regular basis. This is more properly called "time restricted eating" and the extreme is the "one meal a day" (OMAD) diet. While there are stories of weight loss like legendary Elon...

What? Intense Exercise Results in More Coronary Calcification But Keep Doing It Jan 7th, 2023

Physical activity and exercise training are associated with a lower risk for coronary events. Puzzling for sure is that prior studies of middle-aged and older male athletes revealed increased coronary artery calcification (CAC) and atherosclerotic plaques, which were related to the amount and intensity of lifelong exercise. Does exercise actually...

Can a Low-Dose Statin Combination Outperform A Moderate Dose Statin Alone and be Safer Too? Dec 30th, 2022

Many heart patients require therapy beyond lifestyle to lower LDL-cholesterol (lowering Lipoprotein(a) cholesterol if elevated is another topic not often discussed but also important). The most common approach is a moderate or high dose of a statin medication. The RACING study compared an approach used at the KAHN CENTER for...

Can Extra-Virgin Olive Oil Improve Impaired Brain Function? Yes Says a New Study Dec 24th, 2022

The loss of memory begins as mild cognitive impairment (MCI) and can lead to early Alzheimer's Disease (AD) and causes great fear and disability in many people. Strategies to halt and even reverse these developments are needed. Food based support of brain function has been shown with the MIND diet. ...

Is Weight Loss With the New Injectable Meds Sustained? Not For Most Dec 17th, 2022

Cardiovascular diseases like high blood pressure, heart attacks, and congestive heart failure remain the #1 cause of death in the world. Rising rates of obesity remain a major contributor to this sad statistic. A new class of medications, peptides like semaglutide, sold as Ozempic and Wegovy, were developed as diabetic...

Can Taking Vitamins Save Your Life? New Data Says Yes to Several Ones Dec 11th, 2022

Are vitamins and supplements just a waste making expensive urine? Or, at least in some individuals, can they promote health and even save lives? A new large study says you should consider certain supplements to boost your health and lower your disease risk.  STUDY The researchers analyzed a total of...

Why You Should Know About French Maritime Pine Bark (Pycnogenol) Dec 3rd, 2022

A staple at the Kahn Center is an herbal supplement combining french maritime pine park (Pycnogenol) and gotu kola (Centellicum). Multiple studies have shown that capsules with this combination have a profound impact on improving the status of arteries and reduce clinical events in studies in humans done with randomized,...

Heart Calcium Scoring is A "Must Do" to Not Die: New Data, No Excuses Nov 26th, 2022

You are at the doctor's office for your annual physical exam, maybe age 45, maybe 50. Your health care provider discusses your LDL-cholesterol, blood pressure, blood glucose, and other measures, and says "Although you are not calculated high risk, let's get a coronary artery calcium scan (CACS) by CT to...

Eating Red Meat and Animal Foods Raise Heart Disease Risk: The Role of TMAO Nov 19th, 2022

 BACKGROUND In 2011 reports from the Cleveland Clinic appeared that eating foods rich in L-carnitine (meats and duck) and choline (egg yolk) raise the levels of TMAO and cause atherosclerosis in animal models. Vegans tend to have much lower blood levels of TMAO by avoiding animal sourced foods (ASF). There...

Exercising to Lower Diabetes Risk: Fast or Slow Movements Both Work! Nov 12th, 2022

Over the last few decades the rise in consumption of highly processed foods combined with sedentary lifestyles and environmental toxins has led to an explosion of pre-diabetes and diabetes type 2. Overall, patients with prediabetes generally have more sedentary habits. Some individuals are restricted by factors such as old age,...

Healthy, not Unhealthy, Plant-Based Diets Reduce Mortality. So Get it Right! Nov 5th, 2022

How many times have I heard patients tell me they are "plant-based" but the words cheese, chicken, egg yolks, faux chicken nuggets, faux pepperoni and others make it into the history. NO!  To gain the benefits, it must be a whole food plant-based diet. Prior data a few years ago...

CanYou Add 2 Minute Activity Bursts to Your Day? Cut Your Death Risk in Half! Oct 29th, 2022

Vigorous physical activity (VPA) is a time-efficient way to achieve recommended physical activity levels. There is a very limited understanding of the minimal and optimal amounts of vigorous physical activity in relation to mortality and disease incidence. What might happen if you added as little as 2 minutes a day...

Sleeping 7-9 Hours Without Apnea: A New Major Goal in Heart Health Oct 21st, 2022

Should doctors as as many questions of patients about their sleep as they ask about smoking, fitness, and diet? Yes they should say researchers at Columbia University Mailman School of Public Health. Doctors are taught to use the American Heart Associatioin Life's Simple Seven (LS7) assessment of cardiovascular health (CVH)....

Ground Flaxseed as Medicine: A Blood Sugar Benefit to Use! Oct 14th, 2022

Background Prior studies have shown that ground flax seed, about 2 tbs a day, added to food, can lower blood cholesterol and blood pressure. What about blood sugar after meals? Spikes in blood sugar after meals, known as postprandial glycemic excursions, are associated with impaired control of diabetes mellitus. Long-term...

Whole Grains, Not Refined Grains, Promote Heart Health Oct 7th, 2022

Are Grains Healthy? Grains can be delicous. A toasted piece of whole grain bread with a thin coating of avocado spread is a favorite for many. Are whole grains a healthy choice for the heart? Is there a difference between whole grains and refined grains (think a plain bagel) on...

Nasal Irrigation (and Gargling) to Reduce the Severity of Viral Infections Oct 1st, 2022

For conditions like acute and chronic sinusitis, common cold, and allergic rhinitis, nasal irrigation can be advocated for rinsing the nasal cavity. The practice of nasal irrigation likely originated in India's Ayurvedic medical tradition called 'jala-neti' and one can purchase a "Neti-pot" at local drug stores or online. Can nasal...

Waking Up and Moving Early in the AM is Healthier Than Night Owl Patterns Sep 24th, 2022

Does it matter if you wake up early and get moving versus sleeping in later, staying up later, and getting going later? There are different patterns people prefer, often called chronotypes. Is the Early Chronotype healther? A study published in the journal Experimental Physiology highlights that people with early chronotype...

Eating Walnuts Early In Life: What Are The Health Advantages? Sep 17th, 2022

Introduction   Walnuts are the only tree nut that is an excellent source of the plant-based omega-3 alpha-linolenic acid (2.5 grams/oz.), which research shows may play a role in heart health, brain health and healthy aging. Additionally, just one serving of walnuts (1 oz.), or about a handful, contains a...

A Cardiologist Rebuts “A Rise in 20-Somethings with Heart Arrhythmias Caused by Herbal Supplements”: Sep 10th, 2022

An article appeared this week that attracted a lot of national media featuring a young cardiologist in California warning that, in her practice, she is observing a rise in heart rhythm issues in “twenty somethings” due to herbal supplements. In my 40 years of medical training and practice as a...

The Challenges of Managing a Chronic High Blood Cholesterol Level Sep 8th, 2022

A large amount of my clinical care of patients over the last 30 plus years has been the assessment and management of a chronically high blood cholesterol level. This issue has been the source of many consults, particularly in my advanced preventive cardiology practice in suburban Detroit. Patients may arrive...

Does it Matter What TIME of Day You Take Your Blood Pressure Medications? Sep 5th, 2022

More than a billion people have high blood pressure (HBP) worldwide.  High blood pressure, also known as hypertension, is the leading global cause of premature death, accounting for almost ten million deaths in 2015, of which 4.9 million were due to ischemic heart disease like heart attacks and 3.5 million...

What Does Nutritional Expert Valter Longo, PhD Eat in a Day? Aug 27th, 2022

Valter Longo, PhD, is the leading nutritional scientist in the world. He has contributed to understanding the impact of nutrients like amino acids constituting protein and sugar on pathways that trigger health and longevity vs. disease. He splits his academic time between Los Angeles and Milan, Italy. He created the...

Can A Simple Supplement (GlyNAC) Promote Healthy Aging in Elderly? Promising News Aug 19th, 2022

The goal of slowing and reversing aging, particularly in the elderly, is an important and elusive goal. However, the science of understanding and studying healthy aging is rapidly expanding. Some of the pathways for aging that have gotten a lot of attention include elevated oxidative stress (OxS) and  mitochondrial dysfunction. ...

A Natural Blood Pressure Lowering Plant Nutrient to Know: Quercetin Aug 13th, 2022

Quercetin, the most abundant dietary flavonol or pigment, has antioxidant effects that may benefit cardiovascular disease, cancer, degenerative brain disorders.  Flavonoids like quercetin are present in, vegetables, fruits, grains, teas and wine. They’ve been linked to several health benefits, including reduced risks of heart disease, cancer, and degenerative brain disorders....

A Simple Measure of Longevity and Health: Hand Grip Strength Aug 7th, 2022

Muscle strength is a powerful predictor of mortality that can quickly and inexpensively be assessed by measuring handgrip strength (HGS). What is missing for clinical practice, however, are meaningful measurements that apply to the general population and that consider the correlation of HGS with gender, body height, as well as...

Can Drinking Green Tea Lower Blood Sugar Levels? Jul 30th, 2022

Most people run to get their first cup of coffee in the AM to start the day. Maybe you are one of them. Their is ample date that a few cups of black coffee has health benefits. How about after the cup of Joe" Green tea has support as a...

Can You Out Exercise a CRAP Diet? No you can't! Jul 23rd, 2022

How many times have I heard the statement "Doc, give me some slack, I eat CRAP (calorie rich and processed) but I hit the gym 4 times a week". The basic question is "can you out exercise a CRAP diet"?  When I lecture on heart disease I show a picture...

You Feel Fine? What Are the Odds You Are Missing Clogged Heart Arteries? Jul 16th, 2022

Many people without any known heart disease or heart symptoms may still have blocked arteries full of atheroslerotic plaque. Early detection of coronary artery disease (CAD)  using coronary computed tomography angiography (CCTA), in addition to coronary artery calcification (CAC) scoring could detect the presence and severity of CAD even in...

Weekend Warriors vs More Frequent Exercise Sessions: Do Both Benefit Survival? Jul 10th, 2022

 It is unclear whether the weekly recommended amount of moderate to vigorous physical activity (MVPA) has the same benefits for mortality risk when activity sessions are spread throughout the week (Regular Exercisers RE) vs concentrated in fewer days (Weekend Warriors) WW. Objective of Study:  To examine the association of weekend...

Can a MED Diet Rich in Olive Oil Be Healthy For Heart Patients? Jul 3rd, 2022

What is the CORDIOPREV Study? The CORonary Diet Intervention with Olive oil and cardiovascular PREVention study (CORDIOPREV) is a single centre, randomized clinical trial aimed at assessing the superiority of a Mediterranean diet in the secondary prevention of cardiovascular disease (CVD), as compared with a lower fat diet. How Did...

Standing On One Leg For Over 10 Seconds Predicts Lifespan: Practice It Jun 25th, 2022

Balance quickly diminishes after the mid-50s increasing the risk for falls and other adverse health outcomes. A simple test to assess balance, fall risk, and even survival, would be of value. Researchers recently assessed whether the ability to complete a 10- second one-legged stance (10-second OLS) wass associated with all-cause mortality...

HDL-Cholesterol: Is the H for Harmful not Happy Cholesterol? Jun 18th, 2022

Question:  What is the association between a "very high" high-density lipoprotein cholesterol (HDL-C) level and outcomes in patients with coronary artery disease (CAD)? Is HDL-C a "happy" finding or is HDL-C a "harmful" finding? Is there a difference between men and women? Importance  Previous studies over decades have shown lower...

Legumes for the Win: A Weight-Loss Trial Shows Their Power Jun 11th, 2022

Legumes included all types of beans, lentils and peas. In the media, legumes have been questioned as to whether they cause harm through pathways of inflammation triggered by lectins that can be found in these foods. The actual science and randomized trial data to support the "lectin" story is nearly...

Men's Health Month: Reducing Prostate Cancer Risk with a Healthy Lifestyle Jun 4th, 2022

Whether you’re a man or a woman, odds are you know someone who is currently battling or has died from prostate cancer. In fact, it’s the second most common form of cancer among American men. It is estimated there were about 250,000 new prostate cancer cases in 2021 and about...

Everyone Needs Their Lipoprotein(a) Checked: The Europeans Lead the Way May 29th, 2022

It is spring 2022 and I am watching an recent university online lecture on cholesterol assessment. The most exciting pearl? Check Lipoprotein(a) cholesterol in everyone once! While this has been the norm at my center for a decade, there is a huge opportunity to teach more health care professionals to...

Coronary Artery Calcium Score vs. Coronary CT Angiogram: What They Are and What They Show May 22nd, 2022

What is a coronary artery calcium scan (CACS)? A CACS is a simple CT of the heart performed without injection of any contrast dyes that permits the easy identification of calcification (plaque) in the three major heart arteries. There are no needles used, no pain, and no risk to your...

Do I Need to Take a Daily Aspirin for Heart Prevention May 14th, 2022

New headlines have brought up again, perhaps for the third time in 3-4 years, that not all adults over age 50 need a daily aspirin for cardiovascular prevention. The recent headlines arose, not out of new data, but out of a statement by an influential medical group (USPTF) that a...

Alternatives to Bypass Surgery or Stents?: Scientific Options to Know May 7th, 2022

Case Study: A 59-year old woman traveled 2 hours to my office for a 2nd opinion. She was 5’3 and weighed 252 lbs., down from a peak of 320 lbs. a few years earlier. She had been diagnosed and treated for Type 2 diabetes mellitus since the year 2000 and...

Yes, I Do Have an Online Health Course on Longevity Apr 30th, 2022

Want to live to 100? Dr. Joel Kahn explains what the Blue Zones, or areas of the world where people live the longest, can teach us about staying healthy. From similar food habits to stress management, find out what they all have in common. Here is an online course I...

From The American Heart Association: Air pollution exposure may cause heart attack within an hour Apr 23rd, 2022

"Exposure to air pollutants – even at levels below World Health Organization air quality guidelines – may trigger a heart attack within the hour, according to a new study from China that found the risks were highest among older people and when the weather was colder. The study found exposure...

Three Lifestyle Studies to Know and Practice: Prevent Not Stent Apr 15th, 2022

It would hardly be worth studying nutrition if the data suggested it was not a powerful path to prevent heart disease and other conditions. Fortunately, it is quite the opposite. Most cases of heart disease, particularly CAD, are preventable and nutrition is a huge part of that. It is so...

Just One Meal High In Saturated Fat (Butter) Can Do Serious Harm! Beware Apr 2nd, 2022

The 'cult' of butter in coffee and coconut oil in smoothies has been a strong movement led by some physicians and many online nutritionists. Contrary to their advice, research in the 1960s and beyond consistently showed a relations between foods high in saturated fat (butter, meats, cheese, coconut oil) and...

A Plant-Based Diet for the Health of Planet Earth Mar 26th, 2022

Elon Musk recently announced that if he is successful at establishing a colony on Mars it will be a plant based community. Why?  If you believe that “you are what you eat” applies to human health, then a powerful study calculating the benefits of shifting away from eating meat and...

Reversing Disease With Plant Diets: Over 70 Years of Science Mar 13th, 2022

  When the Human Genome Project was completed in 2003, the field of aging expected remarkable findings from “cracking” the genetic code, the “genetic” era of health. In the last 15 years a new era appeared, called the “epigenetic” era.  This is the science of how our environment influences the...

A Flexible Spine Predicts Flexible and Youthful Arteries Feb 26th, 2022

Hundreds of years ago, English physician Thomas Sydenham taught that “a man is as old as his arteries.” We usually don’t think about the health of our arteries until a problem arises (like an emergency room admission, a heart attack, erectile dysfunction or sudden death). It not routine to measure the...

Living 10-14 Years Longer: The Two Lifestyle Studies to Know Feb 20th, 2022

Want to live longer and better, often termed lifespan and healthspan, is all the rage and a serious focus of cutting edge science. While work progresses on stem cells, organ regeneration, and other modalities, lifestyle still remains the focus of planning a long life. Two studies, one just published, establish...

10 Servings a Day of Fruits and Vegetables: How to Succeed Feb 13th, 2022

The central piece of all diets promoting health unite at a large amount of plants, whether fruits, vegetables. Even the USDA food plate and the better version from the Harvard School of Public Health have at least 50% of every meal from vegetables and fruits. And how is the American...

Need a Protein and Nutrition Boost? Try Adding Chlorella Tablets Daily Feb 6th, 2022

Whether it’s lead, mercury, PFAS, BPA, DDT, glyphosate or other toxins that are in the news, you can run but you cannot hide from the challenges to health that the Industrial Revolution and the chemical industry have created over the past century. A focus on overall wellness requires a plan...

Tomorrow I Will Start a 5-Day Fast. Why? How? Safety? Jan 30th, 2022

Tomorrow I start a 5 day fasting program for my health optimization, something I have done over a dozen times. Odds are you’ve heard about fasting. Defined as "abstinence from eating," the potential medical benefits have increasingly been substantiated in animal and medical research projects and now extend to enhance...

Your Genes Load the Gun but Your Lifestyle Pulls the Trigger: Or Not Jan 23rd, 2022

Our progress in understanding human genes has been amazing and humbling. About 150 years ago, Gregor Mendel used pea plants to establish some rules of inheritance, and about 50 years ago, Watson and Crick described the double helix of DNA. In 2003, the entire human genome was sequenced, something I...

The Soy Myth: Should you or should you not eat it regularly? Jan 15th, 2022

If you're confused about whether soy versus butter, meat, or dairy are good or bad for you, just follow the money, which is firmly in the hands of Big Food and the meat and dairy lobbies. A documentary, What the Health, reveals shocking data about the funding by meat and...

Can You Exercise Too Much in 2022: It Is Possible But Get Moving! Jan 1st, 2022

In the year 490 BC, the fittest runner in Greece, Phiddipides, ran 26 miles from Marathon to Athens, to announce a great victory over the Persians. After declaring the news, he dropped dead. Now, 2,500 years later, do we understand the risks of this kind of ultra-exercise? Clearly we know...

Controlling Stress With 4-7-8 Breathing in Under 90 Seconds Dec 18th, 2021

On most days, I go to work, put on my white coat, load my stethoscope in my pocket, and make visits in the hospital and my office as I've done for over 20 years. I am the “master of my domain” and it's very unlikely that anything will disrupt my...

The Five Tibetan Rites Yoga Flow for Health and Flexibility Dec 5th, 2021

I've been doing yoga for over 20 years—but unfortunately, a busy career as a cardiologist has kept me away from the 60- to 90-minute studio practices I used to love so much. Years ago, I was introduced to a quick yoga practice reported to be over 2,500 years old, called...

Staying Positive and Upbeat Everyday Using Simple Skills Nov 28th, 2021

This weekend we celebrated the Jewish holiday of Hanukkah, a holiday celebrating light over darkness, real and spiritual. The holiday is a reminder of how hard it is to stay positive in a world, for millenia, that has evil in it. We light candles for 8 nights to give a...

A Simple Checklist to Avoid Heart Disease: Prevent Not Stent Nov 20th, 2021

Despite the pandemic, heart disease accounts for more deaths than any other class of ailment in the Western world. Yet, most cases have been judged to be preventable with a healthy diet and lifestyle adopted as early in life as possible. Check this list to see how you may be...

Ditch Your Fear of "Carbs" and Starch: Keep it Whole Nov 14th, 2021

There are so many different camps offering conflicting dietary recommendations that some days it seems like you might as well give up and grab junk food. But don't! That's because processed food — usually dripping in excess oils, salt, sugars, and chemical additives — can have an immediate impact on...

Glowing Skin, Glowing Arteries: Simple and Safe Steps Now Nov 6th, 2021

What is collagen? Collagen is the protein that forms connective fibers in tissues such as skin, ligaments, cartilage, bones and teeth. Collagen also acts as a kind of intracellular “glue” that gives support, shape and bulk to blood vessels, bones, and organs such as the heart, kidneys and liver. Collagen...

Check Your Earlobes Now To Assess Your Heart Health! Really! Oct 30th, 2021

Heart disease remains the leading cause of death for men and women.  Heart disease can progress silently for decades until a heart attack, stroke, or sudden death brings problems to the surface. There are ways to use CT technology and advanced laboratories to “know your artery score” years before a...

Myths About Vegan Diets: Pitfalls to Avoid for Health Oct 23rd, 2021

A number of people have identified veganism as one of the biggest trends in health and the reality is that the number of persons identifying their diet as plant-based or vegan is growing larger and larger. Health personalities that question the benefits of a vegan diet are easily found, and...

A Young Heart Requires Aged Garlic: A Science Superfood Oct 16th, 2021

The notion that food items could slow or even reverse atherosclerosis of heart arteries, one of the most serious health threats in the Western world, was considered unlikely until demonstrated by the LifeStyle Heart Trial decades ago (http://www.ncbi.nlm.nih.gov/pubmed/9863851). The emphasis on plant based nutrition has been confirmed as effective for...

Vitamin C and Lipoprotein(a): The Evidence for Benefit Oct 9th, 2021

Heart disease remains the No. 1 cause of death in the Western world, and efforts to reduce the burden of disease must be pursued constantly to avoid the tragedy of early demise and disability. An initial set of factors related to heart disease were first reported by the Framingham Study in...

Brush and Floss Your Heart Every Day: Oral Care is Heart Care Oct 2nd, 2021

Every month is heart month.  We need constant reminders that cardiovascular disease is still the #1 cause of death in the Western world. Educating the public on the research showing that up to 80% of heart deaths are preventable by not smoking, eating a plant heavy diet, and obtaining regular...

The Daniel Fast: 21 Days to Better Metabolic Health Sep 25th, 2021

Can a dietary pattern described in an ancient Biblical text have relevance to the growing issues of obesity, diabetes and heart disease? Can something very old still be new and fresh and provide a roadmap to improving our communal health? With these thoughts in mind, the Book of Daniel may...

Cancer Therapy and the Heart: An Interview on Cardiooncology Sep 11th, 2021

Dr. Kahn’s unique practice, the Kahn Center for Cardiac Longevity, in Bingham Farms, Michigan, offers a groundbreaking integrative approach to heart health for our cancer patients. Born with a heart murmur, Dr. Kahn visited pediatric cardiology frequently throughout his childhood. All of the lights and beeping noises piqued his interest. ...

Can Infrared Sauna Therapy Heal Your Health? Sep 4th, 2021

Can one of the hottest treatments to heal the heart be heat itself?  Over the last two decades, I've treated patients with advanced heart disease, and I've seen many innovations in medications, surgeries, and devices. But there is still an enormous toll on quality and quantity of life.  Background on...

The Portfolio Diet: Lowering Cholesterol With 4 Food Groups Aug 28th, 2021

You have heard of the Mediterranean, Keto, Vegan, Paleo and MIND diet but have you heard of the Portfolio Diet? It is actually a “diet without being a diet” as it was designed to work with any healthy food choices to lower cholesterol levels by keeping a focus on 4...

Ground Flax Seed is a Health Hero! Aug 14th, 2021

Do you add ground flax seeds to your oatmeal, smoothie or on top of your salad? New data says you should and their are additonal health benefits and seeds in general listed below. The newly published data focused on lignans in the diet and heart outcomes. Lignans are polyphenolic substances...

Men's Health: Eating for Your Prostate Aug 8th, 2021

Whether you're a man or a woman, odds are you know someone who is currently battling or has died from prostate cancer. In fact, it's the second most common form of cancer among American men (http://www.cancer.org/cancer/prostatecancer/detailedguide/prostate-cancer-key-statistics). It is estimated there will be about 250,000 new prostate cancer cases in 2021...

The Top 8 Supplements to a Fully Vegan Diet Jul 31st, 2021

After 40 plus years of choosing a plant-based diet and over 31 years of advising patients to do the same, I still get concerned when I see vegans eating a poor diet, as there are a variety of foods that carry the vegan label but are unlikely to promote health....

Loving Your Endothelium and Glycocalyx Jul 28th, 2021

The endothelium is a miraculous layer that lines the 50-60,000 miles of arteries and veins that course through our bodies. Just one cell layer thin, our endothelium would cover eight tennis courts in area if it were stretched out and weighs as much as our liver. On top of the...

Mercury, Lead, Arsenic, Cadmium: "Heavy Metals" to Know Jul 17th, 2021

In the industrial world in which we live we can run but we cannot hide from all toxins that can rob us of our health and vitality. However, armed with adequate scientific information, we can avoid many toxins and strive for optimal health. A group of health stealers are the...

A Healthy Meal Plan to Upgrade Your Health Journey Jul 11th, 2021

Whole Food Plant Meal Plan: Kahn Center for Cardiac Longevity  Drink 3-4 liters of filtered water daily before, during, between meals. 1-2 cups organic black coffee in the AM is an option, paper-filtered grounds You can drink 1-3 cups of herbal teas Herbal tea options are burdock, chamomile, Ceylon cinnamon...

A Whole Food Plant Meal Plan to Consider Jul 11th, 2021

Whole Food Plant Meal Plan: Kahn Center for Cardiac Longevity Drink 3-4 liters of filtered water daily before, during, between meals. Do not use plastic water bottles. Use glass or stainless steel.    You can drink 1-3 cups of herbal teas with meals of any kind. 1-2 cups organic black...

Important Reasons to Eat a Plant Diet for Health and More Jun 25th, 2021

Over the last decades many people have elected to eat largely or exclusively plant diets successfully. The momentum and interest in plant foods has grown dramatically in the last few years.  Headlines, food industry resources, athletes and actors, and even hospital menus point to a tipping point for diets of...

Important Reasons to Eat a Plant Diet Jun 25th, 2021

Over the last decades many people have elected to eat largely or exclusively plant diets successfully. The momentum and interest in plant foods has grown dramatically in the last few years.  Headlines, food industry resources, athletes and actors, and even hospital menus point to a tipping point for diets of...

A Second Opinion is Your First Choice Jun 19th, 2021

Do you sign the surgical consent form? The decision to pursue or decline a recommended medical or surgical procedure is one of the most difficult situations faced by patients impacting their short and long-term health. I have discussed these decisions with thousands of patients and their families before invasive cardiac...

Meat Is Causing Inflammation & Making You Age Faster Jun 12th, 2021

The scientific pursuit of understanding aging is robust, and significant amounts of money are being spent on researching strategies to delay or reverse the damage aging creates. I have participated in studies where my entire genome has been sequenced as part of a growing database relating our DNA code to...

The Phoenix Pro: At Home Science Backed Rx of Erectile Dysfunction Jun 6th, 2021

Are you suffering from ED? Do you know someone who is? If so, that man needs a complete heart work up with advanced labs and heart imaging like the coronary artery calcium CT scan. You might save a life. But what to do about the ED? Eat better? Yes! Exercise?...

Natural Health: Quercetin and Heart Disease May 30th, 2021

Quercetin and quinoa may be tied for the two toughest words to pronounce in the health world. Unlike quinoa, which is a food, quercetin is found in foods but is not a food itself. It can be pronounced either as “quer-sit-in” or “quer-see-tin”. Focusing on a quercetin rich diet or...

HEARTMATH: Using Your Phone to Lower Your Stress May 23rd, 2021

Feel any stress in 2021? We all are. Understanding and coping with stress in healthy ways is the key talent to have. I use Inner Balance by HeartMath, a phone-based program that connects to your earlobe by a clip and gives biofeedback you can learn in minutes. HeartMatch is backed...

Dr. Kahn’s Approach to Men's Sexual Health (Erectile Dysfunction) May 15th, 2021

Dr. Kahn’s Approach to Men's Sexual Health and Microcirculation   Evaluate: Vascular Risk Factors Top 3 Lifestyle factors: Diet Exercise Sleep Inherited/Family History: Lipoprotein(a) Familial hyperlipidemia MTHFR with homocysteine elevation Lab Measurements: hs-CRP Lp(a) Nt-proBNP hs-CRP “Check their heart health, because erectile dysfunction is the canary in the coal mine.”...

Four Tips to Live Long and Well May 8th, 2021

While today’s “to do” list might have completion of a corporate project,  picking up the dry cleaning, and making an evening Pilates class, I suggest you add one more item: taking steps to live long and well. Indeed, the possibility of living longer than our parents without the chronic diseases,...

Saturated Fat and Your Heart: How to Read Science May 4th, 2021

    The observation that diet and health are related can be traced back at least to Maimonides a 1,000 years ago and Hippocrates over 2,000 years ago. With advances in public health measures and medical care, the average lifespan has been dramatically extended. Unfortunately, many of the extra years...

Lipoprotein(a): What You Must Know Apr 24th, 2021

We owe fitness guru and TV host of The Biggest Loser series, Bob Harper, much gratitude for educating the public about his near-death experience in early 2017 from closure of his “widowmaker” heart artery while exercising. His efforts to highlight his missed warning signs, his recovery in cardiac rehabilitation classes,...

Understanding and Mastering Inflammation Apr 18th, 2021

To be a good student of the human body and health, it is important to understand a process in our bodies called inflammation. Although a mouthful of a word, the root is the word flame like a fire that destroys your tissues that comes from the Latin “I ignite ....

Why Good Sleep is a Major Heart Goal Apr 11th, 2021

As a preventive cardiologist, I work with patients who want to improve their health and lengthen their lives. Many of them have major risk factors for heart disease; others already have full-blown heart disease or have experienced major cardiac events such as heart attack, angina, or bypass surgery. These people...

How To Reverse Atherosclerosis (Heart Disease and More) Apr 4th, 2021

I was taught in medical school that coronary artery disease (CAD), or the blockages that can choke off blood flow to the heart, progresses from minor “streaks” in youth, to visible plaques young adulthood, and on to complicated plaques and major problems later in life. During my training the arrow...

Heart Health: And End to Heart Attacks (and ED) Mar 27th, 2021

Your chest slowly begins to tighten up and you feel it in your throat and left shoulder. It is not a pain but a dull and scary pressure. Your breathing heavy and your skin is moist. You feel slightly dizzy and cannot figure out what is happening. It has been...

The Amazing Path From Your Mouth To Your Heart Mar 21st, 2021

The Amazing Path From Your Mouth To Your Heart The 1998 Nobel Prize in Medicine was awarded to 3 researchers who identified that Nitric Oxide (NO) is a gas produced by arteries to promote health. The more NO is manufactured, the lower the blood pressure and the cleaner are our...

Palpitations and Skipped Beats: The Gentle Touch That Worries So Many Mar 13th, 2021

I see it in their faces in my office.  Concern, worry, even distress.  When they roll on their left side in bed, or when they are sitting quietly reading, or perhaps before a business presentation, they can feel their heart beat stronger, or faster, or with an irregularity or thud...

What You Must Know About Lipoprotein(a) Mar 4th, 2021

Trainer Bob Harper had a big following on the TV show The Biggest Loser, where he led obese contestants through a program of eating healthy and working out diligently. Harper appeared very fit which is why the show’s followers were shocked when Harper collapsed at a gym in cardiac arrest...

13 Ideas for Optimal Heart Health Feb 26th, 2021

Many years ago I heard a quote that struck me as profound but until recently I did not know its origins. The quote was “You're the same today as you'll be in five years except for the people you meet and the books you read.” I now know that this wisdom...

Precision Cardiology: An Example with the MTHFR Gene Feb 21st, 2021

In my preventive cardiology practice, the goal is to identify components of altered lifestyles that can be modified to restore health naturally. The big 4 are better sleep, nutrition, stress management, and movement including standing (which I am doing now as I write this). There are many steps to improved...

Eggs and Death? Nutrition Science Explained Feb 13th, 2021

The observation that diet and health are related can be traced back at least to Maimonides a 1,000 years ago and Hippocrates over 2,000 years ago. With advances in public health measures and medical care, the average lifespan has been dramatically extended. Unfortunately, many of the extra years are burdened...

Men's Health: The Heart Bone is Connected to The Other Bone! Feb 5th, 2021

The wellness movement and its message of health, fcusing on unprocessed food, clean water, upgraded personal care products, regular fitness, meaningful relationships and stress management is as important to men as to women. But men just aren't as well-versed in self-care. The challenge of balancing career and family is not...

5 Steps To Live Longer: With Recipes Jan 30th, 2021

I spent at least 50% of my time this week in my preventive cardiology clinic answering one of 2 questions from patients across the USA. The two questions are: 1) Why have I never been told that I could improve my health by changing my diet?” 20 It’s OK I...

CIMT Ultrasound: A Window to Your Arterial Age Jan 23rd, 2021

Cardiovascular disease (of heart and blood vessels) is still one of the leading causes of death and disability in the United States.  What are the risk factors for heart attack or stroke?   In what way can we quantify or measure these risk factors?    What are the testing methods that are...

10 SMALL CHANGES FOR A HEALTHIER HEART Jan 16th, 2021

Every year roughly 610,000 Americans die of heart disease, which is the leading cause of death in the United States for both sexes.  Yet research shows little shifts in diet and lifestyle can significantly boost your heart health.  Big bonus: Several require little or no effort. Here are 12 to...

Measuring Artery Age to Reverse Atherosclerosis Jan 9th, 2021

It would seem obvious that examining the health of the approximate 50,000 miles of arteries in the body would provide key information on vascular and overall aging. As Thomas Sydenham, MD said in the 1600’s in England, “a man is as old as his arteries”. This, of course, is true...

Congestive Heart Failure: A Natural (Integrative) Approach Jan 1st, 2021

Heart failure (HF) is a syndrome of cardiac dysfunction in which the heart can no longer pump enough blood around the body to support its organs and systems. Identified risk factors for HF include conditions that damage the heart, such as hypertension, coronary heart disease, heart attack, chronic alcohol abuse,...

Top Cardiology and Nutrition Research of 2020: A Plant Slant Dec 26th, 2020

Without a doubt it would be easy to answer the question: what was the top medical story of 2020? Obviously, it was the pandemic. However, there were some major advances in research that focused on cardiology, nutrition, and plant diets. Without diminishing the importance of COVID-19, here are some that...

Treating Atrial Fibrillation Naturally Dec 19th, 2020

After 31 plus years of cardiology practice, I can conservatively estimate I have consulted on over 5,000 cases of a common heart ailment, atrial fibrillation (AF). The normal heart beat is called normal sinus rhythm (NSR) which starts 60-100 times a minute in the upper chamber of the heart (right...

High Heart Calcium CT Scan Score: What to Do Now? Part 2 Dec 14th, 2020

Step 4. Do I Need a Heart Catheterization (angiogram)? There are differences of practice If your CACS returns at a very high score (e.g. >1000) even if you have no symptoms. Some cardiologists recommend an invasive cardiac catheterization as described in a recent media article. I have performed cardiac catheterization...

High Heart Calcium CT Scan Score: What to Do? Part 1 Dec 6th, 2020

An ounce of prevention is worth a pound of cure is wise counsel. Although not as lofty a goal, early detection of existing heart disease is worth at least half a pound of cure, agreed? Why Get a Heart CT Scan?  The introduction of a simple, inexpensive, and safe screening test...

High Cholesterol? 10 Considerations to Lower It Dec 2nd, 2020

Do you have a high cholesterol?  Maybe you already know of some form of atherosclerosis (hardening of the arteries) from a prior heart attack, stroke, bypass operation or stent procedure. Most people learn of a high cholesterol from their primary care provider. Often a Rx medication is offered without further...

10 Holiday Gifts I Love for Natural Health and Prevention Nov 21st, 2020

10 Holiday Gifts I Love!   The holidays are right around the corner and most of us are spending lots of extra hours as home. I experiment with many home or personal use items. Some I love, some I don’t. This is a list of some of my favorites you...

HOW TO HAVE A NORMAL BLOOD PRESSURE: 11 NATURAL THERAPIES Nov 12th, 2020

High blood pressure, or hypertension, has earned the name “silent killer.” What Can High Blood Pressure Do? Heart disease, sexual dysfunction, stroke, kidney failure, and aneurysms can all result from elevated blood pressure. And with 1 out of every 3 Americans suffering from this malady, its impact is huge. Of course, there...

Don't Drop Dead! How to Know Your Heart Risk Nov 6th, 2020

Heart disease can strike unexpectedly at any moment causing illness or death. There's nothing pretty about lying in a cardiac care unit bed on a ventilator after a major heart attack, so here's straight talk about a plan to know you are young inside and out and NOT DROPPING DEAD. ...

A Fast Start for Your Plant Based Diet (Vegan) Oct 31st, 2020

I spent at least 50% of my time this week in my preventive cardiology clinic answering one of 2 questions from patients across the USA. The first question was “why have I never been told that I could improve my health by changing my diet?” and the second one was...

Lowering Lipoprotein(a) Cholesterol with Natural Therapies: A Clinic Study Oct 23rd, 2020

Understanding heart diseases, particularly the risk of heart attack, strokes, valvular diseases requiring stents or cardiac surgery, is a dynamic field. Heart diseases, particularly coronary heart disease (CHD), remain the #1 risk of disability and death in western countries in both men and women. The traditional risk factors for early...

Heart Stent in a 34 Year-Old! The Role of Lipoprotein(a) Oct 19th, 2020

In medical school nearly 40 years ago I was taught that heart disease is mainly due to smoking, hypertension, diabetes, cholesterol disorders, and a family history of early heart events (Framingham risk factors). Most patients are still evaluated by obtaining information regarding these 5 factors. Missing from this approach are...

5 Health Benefits of Sex and the Heart Jul 29th, 2019

Eat your vegetables and fruits, get seven to nine hours of sleep, don’t smoke, walk 30 minutes a day, stand more, stress less, be more mindful. It can be quite an undertaking to arrange and maintain a schedule that promotes health and longevity. And interestingly, the one activity you may not be...

8 New Medical Reasons to Never Eat Meat Sep 7th, 2017

Some people are drawn to the plant-based lifestyle for the impact it makes on protecting the environment and some to avoid harming animals. Most of us hope that we also may derive some health benefits from skipping animal products, even if it is occasionally hard on holidays and travel to...

How Fasting Might Boost Your Brain Power Sep 7th, 2017

Odds are you’ve heard about fasting. Defined as “abstinence from eating,” it is something you may have tried now and then. The potential medical benefits have increasingly been substantiated in animal and medical research projects and now extend to boosting brain power. I have been using a form of periodic fasting called...

6 Ways to Kick Off a Plant-Based Diet Sep 6th, 2017

You’ve decided to avoid animal products and jump into the world of plant-based eating but you’re wondering what your three meals a day and snacks are going to look like. How will you order at restaurants? What do you need to stock up on at home? I’ve discussed this process...

6 Crazy Clues to Suspect Early Heart Disease Sep 6th, 2017

Preventing heart disease in patients is my main goal, but early detection is the next best thing if you cannot totally block its development. Changes in lifestyle and medical therapies can delay or deny the onset of a heart attack and almost 80 percent of heart disease is preventable with...