I'm a cardiologist. I've held dying hearts in my hands in the cath lab at 3 AM. And I need to tell you something that changes everything about how we prevent heart attacks.
For decades, the entire field was built on one target: lower LDL cholesterol. Statins save lives — that's settled science. But too many of my patients did everything right — took their statins, hit their numbers, lived clean — and still ended up on my table with a ruptured artery.
We were treating the smoke while the fire kept burning.
The fire is inflammation. And the evidence is now overwhelming.
The CANTOS trial proved it first — lowering inflammation independent of cholesterol reduced cardiac events. But the newer data is what keeps me up at night.
AI-enhanced CT angiography can now detect inflamed arteries by measuring changes in the fat surrounding your coronary vessels — the perivascular fat attenuation index. Higher inflammation in the fat around even one artery independently predicts cardiac death. When multiple arteries show inflammation, the risk multiplies dramatically — even in patients whose cholesterol looks perfect.
This isn't theoretical. This is measurable. Right now. On a scan you can get this month.
Low-dose colchicine — a drug that's been around for centuries for gout — is now FDA-approved specifically for reducing cardiovascular events. It works by quieting the inflammatory cascade that destabilizes the plaque sitting in your arteries. A pill that costs pennies is saving lives the statins couldn't reach.
And the next wave is already in Phase 3 trials. Ziltivekimab — an IL-6 inhibitor — targets the central inflammatory pathway driving atherosclerosis. Phase 2 data showed a 90% reduction in hsCRP. The ZEUS cardiovascular outcomes trial is enrolling now, with results expected late 2026 into 2027. If positive, anti-inflammatory therapy will become standard in managing heart disease alongside lipid-lowering. The era of inflammation-targeted cardiology is arriving.
But it goes deeper than drugs. AI is now predicting heart failure and cardiac events 5+ years before symptoms — integrating CT imaging, electronic health records, and genetic data with accuracy that jumps far beyond traditional risk calculators.
And polygenic risk scores — a simple genetic test that flags inherited cardiovascular risk — are now formally recognized as a risk-enhancing factor in the 2026 ACC/AHA guidelines. A single blood draw can reveal risk that's been silently building since birth. Decades before the first chest pain.
Here's what this means for you right now — today:
Ask your doctor for a high-sensitivity CRP test. It's cheap, routine, and measures the systemic inflammation that standard cholesterol panels completely miss. You can have perfect LDL and inflamed arteries that are quietly preparing to rupture.
If your hsCRP is elevated, discuss low-dose colchicine with your physician. It's FDA-approved for exactly this.
Push for a coronary CT angiography with AI plaque and inflammation analysis if you have risk factors. This isn't the stress test your parents got. This is 3D visualization of your actual arteries — with AI quantifying not just how much plaque you have, but what kind it is and whether the surrounding tissue is inflamed.
Consider polygenic risk score testing — especially with a family history of early heart disease. It's now guideline-supported.
And the foundation that never changes: move daily, eat real food, sleep 7-9 hours, manage stress, and know your numbers — ApoB, Lp(a), hsCRP, fasting insulin.
I left Iran as a child with nothing. I rebuilt everything in a country that gave me the freedom to become a physician. I've spent twenty years watching patients get second chances.
The ones who haunt me aren't the ones who died on my table. They're the ones who survived but never acted on what the science was telling them — years before the event that didn't have to happen.
You can have perfect cholesterol and still have a heart attack. Inflammation plus genetics can drive plaque rupture in arteries that look "fine" on a standard panel.
The myth that normal cholesterol means you're safe has cost more lives than I can count.
We now have the tools to detect the fire — not just the smoke. AI to see it. Genetics to predict it. Drugs to quiet it. And the ancient basics — movement, real food, sleep, purpose — to prevent it from starting.
Prevention is the new cure. And the science to make it real is no longer coming.
It's here.
If you need further evidence of this conflict of interest here’s a clip of Modlik / Ngati Toa already openly “influencing” the direction of travel (and therefore ratepayer’s money) at the Te Komiti Tiaki Wai Partners' Committee, right out the gate!
Outrageous Gaslighting.
Labour’s health spokesperson Aysha Verrall has boasted that “we ran one of the best public information programs on myocarditis in the world.”
Verrall then doubles down and says that the risks were made public and communicated clearly.
Her extraordinary claim is completely unsupported by any credible evidence, contradicted by official records, repeated implementation failures, and the total lack of independent scrutiny or benchmarking of her claim.
But what makes Verrall’s statement truly repugnant is that the known risks of myocarditis to teenagers appear to have been deliberately withheld from the public while the government aggressively rammed through its “Two Shots for Summer” campaign and pushed mass vaccination in schools.
To describe this as “one of the best in the world” is just delusional and a disgraceful insult to every affected family and a shocking abdication of basic honesty.
How on earth can she look at this failure and call it world-class?
Clip via @NZOFP
The label reading evolution:
Week 1: "I'll cut sunflower oil from the cupboard. Done."
Week 2: "Why is rapeseed oil in the bread."
Week 3: "Why is sunflower oil in the hummus."
Week 4: "Why is canola oil in the pesto."
Week 6: "The shop is now taking ninety minutes."
Week 8: "There's seed oil in the tinned tomatoes."
Week 10: "The 'olive oil mayonnaise' is 96% rapeseed."
Week 14: "Asking waiters what they fry the chips in. Nobody knows."
Week 18: "Bringing a small bottle of tallow to dinner parties."
Week 22: "Rendering my own dripping on a Sunday."
Week 26: "Pricing up half a cow and a chest freezer."
Week 30: "Considering whether the garden could support a heifer."
Week 36: "Naming the heifer."
The descent into paranoia is just pattern recognition arriving in real time.
OMG Wellington water have released over 2.5 billion litres of raw sewerage into the Cook Straight - and its still happening - at the rate of around 70 million litres discharging per day!
Yet unlike farmers who suffer huge fines for the smallest discharge, city councils like Wellington and Queenstown suffer no consequences.
So please get off your moral high horse Cherie!
This is the National Field Days site RLL34.
It is a pre booked site for @nzlabour
Such is their contempt for rural NZ they literally failed to turn up to the biggest agriculture event in NZ.
The site is vacant.
@nzpoliticsgroup@1NewsNZ Not far right....... just ordinary people in extraordinary circumstances. If they want to cut our heads off, then there is only one option left for us........
A white forensic tent stands at the scene tonight.
There are reports circulating that the victim was a minor. There are also reports claiming the victims eyes have been gouged out.
Also reports that the attack was fatal.
At this stage, these reports remain unconfirmed.
I eat a perfectly balanced diet, exactly as the dietitians keep telling me to. Here is the plate.
Red meat for the heme iron, the zinc, the B12, and the creatine. The absorbable kind, not the sort your gut waves past.
Pork for the thiamine. No everyday food on the table carries more vitamin B1.
Eggs for the choline and a complete protein, yolk and all. About as nutrient-dense as food gets.
Cheese for the calcium, and the vitamin K2 that steers that calcium into your bones instead of your arteries.
Butter for the fat-soluble vitamins, A, D, E, and K, plus the fat that lets you absorb any of them at all.
Sardines for the omega-3, the vitamin D, and the calcium straight out of the soft little bones.
Now line it up. Iron, zinc, B12, thiamine, choline, calcium, K2, retinol, omega-3, vitamin D, complete protein.
Every box ticked, every corner covered, from a handful of foods that all came off an animal.
That is a balanced diet. The dietitian only ever assumed balance had to arrive on a bed of leaves.
The animal plate was balanced the whole time. Nobody thought to check.
People love to tell me my information is dangerous. That it ought to be keeping me up at night.
So let's step back and have a proper look at the crime.
I am telling people to eat more red meat. The most nutrient-dense food on the planet. The food that carried our species through 2.5 million years without once managing to produce a heart disease epidemic, and built the human brain while it was at it.
And to maybe ease off the rancid seed oils that turned up, by sheer coincidence, at the precise moment the heart attacks did.
Truly reckless stuff. Lock me up.
I sleep like a baby.
More human beings have died of dysentery and the diarrhoeal diseases beside it than of almost any other cause in the history of the species.
Not war. Not famine. Not the great named plagues that get the documentaries. A bacterial infection of the gut that turns the bowels to bloody water and empties a person out until there is nothing left to give.
It is the quiet killer running underneath all of history. In nearly every war ever fought, until distressingly recently, disease killed more soldiers than the enemy did, and the disease, more often than not, was dysentery. Armies dug their latrines upstream of their own drinking water and then wondered why they were dying. It killed in the camps, the prisons, the slums, and above all the nurseries. For most of human history, the child who reached the age of five had already beaten the thing most likely to kill it, and the thing was, overwhelmingly, the runs.
Then, over the last hundred and fifty years or so, we beat it. Not with diet. With plumbing.
Clean water. Sewers that ran away from the wells instead of into them. Refrigeration. Soap. Antibiotics for when all of that failed, and vaccines for the other killers sitting alongside it. This is where the famous rise in life expectancy actually comes from. Not from anyone eating more sensibly. From engineering, sanitation, and medicine dragging the infant mortality rate down through the floor, so that the average lifespan, which had always been held low by all those dead children, could finally climb.
Here is the part worth sitting with.
Of all the things that added decades to human life over the last century, the modern diet is not one of them. The dietary advice that arrived in the 1970s did not extend anyone's life. It turned up after the hard work was already done, and took the credit anyway. Over the very same decades that sanitation and antibiotics were adding years, the food was quietly taking them back, in the form of an explosion of obesity, diabetes, and metabolic disease that our great-grandparents, for all their dysentery, simply did not have.
We solved the thing that killed people fast. We are still living, every single day, with the thing that kills people slowly.
Progress rarely happens on all fronts at once. We got very good indeed at not dying young of infection, and we have spent that hard-won breathing room inventing an entirely new way to be unwell.
The plumbing saved you. The food guidelines just stood next to it in the photograph.
Wrong. It’s an ‘unrelenting assault’ on Maori elitist troughers and bureaucratic separatists stuck to the teat of the taxpayer in make-work schemes like the Waitangi Tribunal.
NZ GOVT DELIBERATELY HID MYOCARDITIS RISKS FROM 285000 children
Covid response Minister Chris Hipkins chaired secret, unminuted Aug 2021 meeting with Jacinda Ardern, Grant Robertson, Andrew Little & Ashley Bloomfield to strip youth vaccine warnings from public communications - prioritizing uptake over safety and informed consent.
Dr. Sabine Hazan: “our most significant discovery”
Dr. Hazan is a Gastroenterologist with a special interest in microbiome research.
Watch as she traces the loss of Bifidobacteria all the way from covid mRNA technology to the rate of Autism in California.... and ends with a bombshell twin study.
@SabinehazanMD brought back the speech of previously non verbal twins, with a re-florilisation of the essential microbe which is now missing (at adequate levels) in 75% of newborns.
It’s a completely new paradigm of medicine.
She is pioneering it.
Anthony Fauci’s Lead Researcher during COVID has been arrested by the FBI Terrorism Taskforce for Conspiracy against the US for trying to bring monkeypox into the United States.
Vincent Munster and Claude Kwe.