Optimal Health Daily - Fitness and Nutrition 3308: Atherosclerosis - How To Reduce Plaque in the Arteries With & Without Statins on Cardiovascular Risk Reduction
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Feb 27, 2026 Discussion of why plaque can persist despite medications and lifestyle changes, and how genetics like elevated lipoprotein(a) drive risk. Practical prevention strategies are covered, including targeted fats, omega‑3 goals, and fiber sources. Tips on modest weight loss, reducing added sugar, stress management, and safe exercise to support heart health.
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Plaque Is Hard To Remove Once Formed
- Atherosclerosis plaque, once formed, is generally not reversible through lifestyle alone.
- Dr. Neal Malik explains that medical procedures are the only way to remove existing plaque, so prevention of new plaques is the usual clinical focus.
Genetics And Lipoprotein A Drive Persistent Risk
- Family history and genetics can drive stubborn atherosclerosis despite diet, exercise, and statins.
- Dr. Neal Malik highlights lipoprotein(a) as a hereditary particle similar to LDL that affects ~1 in 5 Americans and promotes plaque.
Get Lipoprotein A Tested With Strong Family History
- If family history shows early heart disease, get tested for lipoprotein(a).
- Dr. Neal Malik says doctors may still recommend statins if lipoprotein(a) is high even when LDL and HDL look normal.