{"version":1,"type":"rich","provider_name":"Libsyn","provider_url":"https:\/\/www.libsyn.com","height":90,"width":600,"title":"Preventative Cardiology and the New Guidelines with Dr. Sanjay Bhojraj | Rational Wellness Podcast 467","description":"New AHA\/ACC Lipid Guidelines, Cholesterol Myths & Root-Cause Cardiology | Dr. Sanjay Bhojraj   Dr. Ben Weitz introduces the Rational Wellness Podcast and interviews integrative\/interventional cardiologist Dr. Sanjay Bhojraj about the new AHA\/ACC lipid guidelines and the evolving science of cholesterol, inflammation, and cardiovascular risk. Bhojraj explains why conventional cardiology\u2019s LDL-centric, statin-heavy approach can miss key drivers of atherosclerosis, drawing from years treating repeat heart attacks. He reviews how plaques form through endothelial\/glycocalyx injury, oxidized and small dense LDL, and immune activation leading to rupture and clotting. They discuss comprehensive lipid and cardiometabolic testing (ApoB, Lp(a), oxidized LDL, insulin, A1c, CRP, MPO, Lp-PLA2, homocysteine, uric acid, TMAO), insurance barriers, and a HEART framework (Hormones, Energy, Autonomic nervous system, Rest\/Repair, Triggers). They cover statin benefits\/risks, alternative drugs, diet approaches, supplements, and women\u2019s heart disease risks. 00:00 Show Intro And Mission 01:01 Why Lipid Guidelines Matter 02:09 Meet Dr Sanjay Bhojraj 02:49 From Stents To Root Causes 07:01 Rethinking LDL And Statins 10:19 How Plaques And Heart Attacks Happen 19:01 Why Advanced Lipids Aren't Standard 21:37 Cash Pay Vs Insurance Labs 23:42 Key Cardiometabolic Markers 26:34 ApoB And Lp Little A 29:16 TMAO Dysbiosis Debate 31:51 Uric Acid Homocysteine And CRP 33:23 Inflammation And CRP 35:06 Beyond Basic Lipids 35:45 HDL Function Matters 38:04 HDL Treatment Limits 38:54 Sponsor Apollo Wearable 40:27 Iron Ferritin Hormones 43:04 HEART Risk Framework 43:46 MPO And Vascular Markers 46:12 Statins Benefits Risks 50:31 Personalized Lipid Therapy 58:36 Diet For Heart Health 01:01:23 Portfolio Diet Basics 01:02:09 Plant Forward Middle Ground 01:03:07 Saturated Fat And LDL 01:04:46 Vegan Keto Diet Culture 01:06:24 Niacin Pros And Limits 01:08:24 Berberine And Fish Oil 01:10:52 Omega Ratios Membranes 01:11:56 Red Yeast Garlic Glycocalyx 01:15:31 Sterols Bergamot CoQ10 01:17:45 Women Heart Disease Clues 01:20:48 Mammograms And Vascular Calcium 01:21:36 How To Work With Him   Dr. Sanjay Bhojraj is an Integrative Cardiologist who is also certified in Functional Medicine by the Institute of Functional Medicine. He practices in Mission Viejo, California and his website is SanjayBhojraj.us\/home.   Dr. Ben Weitz is available for Functional Nutrition consultations specializing in Functional Gastrointestinal Disorders like IBS\/SIBO and Reflux and also Cardiometabolic Risk Factors like elevated lipids, high blood sugar, and high blood pressure. Dr. Weitz has also successfully helped many patients with managing their weight and improving their athletic performance, as well as sports chiropractic work by calling his Santa Monica office 310-395-3111. ","author_name":"Rational Wellness Podcast","author_url":"https:\/\/www.drweitz.com","html":"