Working on this case was (and still is) one of my career highlights. Senior doctors advised severe dilated cardiomyopathy is impossible to treat with cardiac rehabilitation due to a “floppy heart muscle”.
Yet our internal approach was “let the science lead you”
We stuck to the basics - focussed on exercise in the maximal fat oxidation zone set at 5 watts.
We realised hospitals are not interested in providing formal cardiac rehabilitation infrastructure (as it is probably not part of their business model). So the only solution was to decentralise formal cardiac rehabiliation and install a medical grade bicycle ergometer with a remote ECG monitor at the patient’s home.
No more travelling to a healthcare facility
The patient could control his own day, and we brought precision medicine into his home through controlling his workload at 5 watts executing 30 minutes of cycling 3-4 times per week while doing aggressive breathing exercises (for 20 minutes most days of the week)
The outcome:
* NT-proBNP dropped from 16521 pg/ml in September 2025 to 1436 pg/ml in June 2026
* Ejection Fraction increased from 27% to 40%
* Peak VO2 increased by 100%
* Workload increased from 5 watts to 25 watts while energy id produced from fat and lactate
* LVAD Surgery was prevented
In May this 70 year old male could do 735 push ups and 650 squats on top of his cyling and breathing work.
The realisation….we do not have to wait for hospitals to create cardiac rehabilitation infrastructure. We are creating the infrastructure at patient’s homes and this is what the patient prefers.
This approach grown into a business where we are now installing formal cardiac rehabilitation infrastructure in patient’s homes across the globe with daily remote monitoring including minthly reporting and annual follow-up CPET and lactate testing every 6 months.
Exercise in chronic care focus on fat burning and lactate production (not just as a fuel but as a critical metabolic signal for the brain, heart, liver, muscle - and the rest of the body) - and requires a different perspective than exercise in elite performance.
The results speak through the physiological data and a new dawn is about to break open for exercise in chonic care.
Simply eating less almost never works in the long run.
When you suddenly eat less, your body often burns fewer calories.
So, you eat less, but your body also uses less energy.
That is why portion control rarely produces lasting weight loss.
No, this doesn't break any laws of thermodynamics. 🙄
Corporation: "We made $4B but spent $3.9B so we only owe taxes on $100M."
Government: "Totally reasonable."
You: "I made $60K but spent $58K on survival."
Government: "You owe taxes on $60K."
You: "That's not—"
Government: "File by May 15."
So Congress, including Republicans, passed laws allowing your car to spy on you, which is hugely unpopular, but can’t pass voter ID, which is hugely popular.
The Fourth Amendment isn't optional. If the government wants to read your messages, search your data, or spy on you, they need a warrant. Period.
My Fourth Amendment Restoration and Protection Act ends warrantless surveillance of Americans.
It’s well known, at least it should be, that things like an infection and abstaining from food (among other things) will do this.
Question is, does your dr even know this?
Two men approach a woman and ask her to become pregnant by one of them and they will then pay her to take the child from her
I see no functional difference between this and a woman just offering to sell her child outright.
its a semantic debate by degenerates that want people to be allowed to sell children and an effort to devalue human life
I went into wedding planning with so many assumptions about how I'd save money, and it's virtually impossible if you plan to have your family there. Even small weddings and elopements will run what you'd think a normal-sized wedding should cost.
🫀🔥 LDL is down. Therapy is optimal. And yet… plaque is still growing.
Report from the presentation of the HURRICANE study at the ECR2026
Proud to be part of this study that sheds more light into a very hot contemporary topic.
That’s the uncomfortable reality highlighted by new data presented at ECR 2026.
👉 Statins were working.
👉 Guidelines were followed.
👉 LDL was controlled.
And still:
📈 Atherosclerosis progressed.
💡 This is the blind spot we’ve been ignoring:
👉 Residual cardiovascular risk
Driven by:
✔️ Inflammation
✔️ Metabolic factors
✔️ Genetics
👉 Things LDL alone does NOT capture
🚀 Enter Photon-Counting CT (PCCT)
For the first time, we can:
✔ Quantify plaque volume
✔ Differentiate plaque components
✔ Track progression over time
👉 Not just detect disease…
👉 Measure its evolution
⚠️ And this is where it gets disruptive:
Patients who are “well-controlled” on paper
may still be:
👉 biologically active
👉 progressing silently
🧠 This changes the entire paradigm:
❌ Treat LDL → assume success
➡️ becomes
✅ Treat disease → verify with imaging
🎯 Clinical implication
We may need to move from:
Lipid targets
➡️ to
Plaque targets
From:
Surrogate biomarkers
➡️ to
Direct disease measurement
🚨 Bottom line
Statins treat risk.
👉 PCCT shows reality.
And sometimes…
they don’t match.
⚡ The future is not:
“Did we lower cholesterol?”
It’s:
👉 “Did we actually stop the disease?”
I don't understand how we're not having a global revolution right now.
There are 3 million files of documented evidence about powerful men who
Raped
Cannibalized
Trafficked
Filmed
Terrorized
Tortured
Murdered
13, 14, 15 year children!
And Zero arrests.