Mikey V

Dad, pharmacist, business owner

[Mikey V @mikev1919]

@compliantvc Is this a parody account

[Mikey V @mikev1919]

@ByzGeneral @CryptoParadyme Gauranteed Gov loans for school have made college unaffordable. It’s actually predatory. Your saddling young people with debt they will never be able to pay off. Look at the admin staff you student ratio once the program went into effect. Moral superiority is wild

[Mikey V @mikev1919]

@M04006106 @epkaufm @jean_twenge One that’s false. Social contagion is a thing. Two, maybe they lied so they could get into the college of their choice by being a minority group.

[Mikey V @mikev1919]

@PrairiePersp Canada is broken. Had to leave. Too many morally superior virtue signallers

[Mikey V @mikev1919]

@TripleNetTyler I bet you called 50 of the last 3 housing recessions

[Afshine Emrani MD FACC @afshineemrani]

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.

[Mikey V @mikev1919]

@LeaderJohnThune Pass the save act

[Mikey V @mikev1919]

@mrsunshinebaby Switched my flight to leave a day early. Not with the risk of escalation. That being said the flights out went smoothly today.

[Mikey V @mikev1919]

@CollinRugg Victim mentality. Becoming more SMS more common in Canada (coming from a Canadian)

[Rob Schneider 🇺🇸 @RobSchneider]

Senator John Thune? Why won’t you BRING THE SAVE ACT TO A VOTE?!
PLEASE RETWEET!!

[ThePersistence @ScottPresler]

This is day 39 of asking @LeaderJohnThune to pass the SAVE Act.

▪️85% of white Americans support voter ID

▪️82% of Latino Americans support voter ID

▪️76% of black Americans support voter ID

[Mikey V @mikev1919]

@Jason @Grimezsz Yeah it will end because they will continue to let fraud occur by not deporting the ones committing the fraud

[Mikey V @mikev1919]

@MelMattison1 I'm caught the notification and bought naked calls at 620. Up 600%

[Mikey V @mikev1919]

@_sgarbini @coldcallsniper You forgot the part about Denver having the worst qb left on the playoffs

[Anthony Pompliano 🌪 @APompliano]

The fact that so many previous Fed and Treasury officials came out in blind support of Jerome Powell yesterday makes me immediately suspicious.

They don't even know what the DOJ is looking into, nor do they know the facts of the situation.

We learned yesterday from the Attorney General that Powell and the Fed have been ignoring requests for information before an investigation was opened, so the government felt they had no choice but to make it official investigation.

Whether that is true or not, that is the story we are being told.

The whole situation immediately makes me think of the Russia hoax and the Hunter Biden laptop. Both situations immediately garnered blind support from "insiders" and turned out to be false.

Because of this pattern, I think the odds went up slightly yesterday that Powell probably did actually mislead Congress.

You can tell based on the way consensus was reached and dissent is being outlawed in public opinion.

[Mikey V @mikev1919]

@br_betting At this point if you are being player props i have zero sympathy for you. I know it’s rigged, you know its rigged, everyone knows it’s rigged.

[Nick shirley @nickshirleyy]

This isn’t a left vs right issue.

Fraud is fraud.

Have you noticed the MSM and the left are trying to make it political and a racial issue?

People’s true nature is showing, I hope you all are learing something from this

[Tony Greer @TgMacro]

Kuppy FTW.
And the best quote I heard today was on the @RealAFShow
“Trump will go down in history as the guy who could have saved the country but chose not to.”
And it’s pretty clear why.

[Kuppy @hkuppy]

@TgMacro By this point in Biden’s presidency, half the J6 guys were in jail already. Trump can’t even find someone to arrest, after a twitter bro did 100% of the work and got everyone on camera. Just depressing. They play to win. Our team is lame…

[Mikey V @mikev1919]

@tedcruz The only crisis that anyone in the Republican Party should be worried about is in minn. until that is addressed this makes you look awful