Heart Doc VIP with Dr. Joel Kahn

487: The Role of Diet, Blood Pressure, and Hormones in Dementia

12 snips
Mar 24, 2026
Discussion of new research linking high blood pressure and early menopause to dementia risk. Debate over red meat, saturated fat, and APOE4 in nutrition studies. Links between skipping breakfast, ultraprocessed foods, and metabolic or cardiovascular harm. Coverage of coronary calcium scoring, tooth loss and atherosclerosis, and how TMAO may speed clotting.
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ANECDOTE

Host Preparing For Robotic Mitral Valve Repair

  • Joel Kahn is preparing for robotic mitral valve repair at Cleveland Clinic and credits Dr. Mark Gilinov.
  • He mentions his wife Mrs. Kahn will use ashwagandha plus L-theanine from iGennus while he recovers.
ADVICE

Prefer Clopidogrel Over Lifelong Aspirin After One Year

  • Consider clopidogrel monotherapy instead of lifelong aspirin after the first year post-stent.
  • A study of 2,986 stented patients found clopidogrel alone had superior cardiovascular outcomes vs aspirin alone beyond one year.
ADVICE

Cut Ultra-Processed Foods To Reduce Heart Risk

  • Avoid ultra-processed foods to lower heart attack and stroke risk.
  • ACC presentation linked higher ultra-processed food intake to a 67% increased risk of heart attack and stroke.
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