The Doctor's Kitchen Podcast

#319 “Do I Have Heart Disease Despite a Perfect Plant Based Diet?” | Simon Hill

38 snips
Oct 15, 2025
Simon Hill, a physiotherapist and nutrition scientist passionate about plant-based eating, shares his personal journey with heart disease. He discusses the surprising early signs of cardiovascular issues revealed by his screening, prompting a crucial choice between immediate treatment or monitoring his condition. The conversation delves into dietary fats, effective cholesterol management, and supermarket swaps for heart health. Simon emphasizes the importance of tailored lifestyle changes and the potential of diet to influence heart health without solely relying on medication.
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ANECDOTE

Small Amount Of Soft Plaque On CT

  • Simon's CT angiogram found minor subclinical atherosclerosis totalling 61 mm³ of mostly soft plaque.
  • He plans a repeat scan in a year to measure plaque progression and inform treatment decisions.
INSIGHT

Diet Strongly Changes Plaque Progression

  • A recent keto cohort laid down ~35 mm³ of plaque in one year using the same measurement tool.
  • That highlights how dramatically different diets can affect short-term plaque progression.
ADVICE

Lower LDL With Proven Therapies

  • The most evidence-based step to halt progression is lipid-lowering therapy to drive ApoB/LDL very low.
  • Discuss modern options (statins, ezetimibe, bempedoic acid, PCSK9 inhibitors) with a preventive cardiologist.
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