Replacing the Cholesterol Theory of Heart Disease with the LPS Theory of Coronary Artery Disease

Kirk Hamilton • March 17, 2019

Share this article

Sun, 17 Mar 2019 04:21:00 +0000

Dr. Jeffrey Dach, MD has a passion to share his belief that coronary artery disease is not caused by cholesterol but by the “ Low Level Endotoxemia LPS Theory of Coronary Artery Disease ” which has an inflammatory etiology caused by an underlying infection (s) ( infected biofilm )  from possibly the mouth or leaky gut or other body source. His most fundamental premise is that the cholesterol hypothesis is wrong and therefore cholesterol lowering agents are ineffective and possibly can do some harm. Statin drug utilization may only have benefit in those with established coronary artery disease, but it may only be of partial benefit because of its pleiotropic effects (i.e. anti-inflammatory, anti-infective, etc.) and not by it’s cholesterol lowering effects.

The best assessment tool for evaluating coronary artery disease, its progression and risk for future cardiovascular events is not following LDL cholesterol or other lipid levels and treating with subsequent statin or other lipid lowering therapies, but it is with yearly coronary calcium scoring by computer tomography (CT or CAC Scoring) which has the radiation exposure approximately equal to a mammogram. The goal is to have less than a 15% calcium score increase per year (there are some anecdotal cases of regression). This is associated with a significantly reduced risk of a future coronary event. A zero calcium score at baseline would suggest no statin or lipid lowering treatment no matter what cholesterol level one has. A calcified plaque progression of greater than 15% is suggestive of significant cardiac risk and more aggressive therapies would be needed to slow plaque progression or possibly reverse it.

Dr. Dach’s approach to preventing, stopping or possibly reversing the calcified plaque is to use the coronary calcium score by cardiac CT and not use lipid levels as the indicator on how aggressively to treat coronary artery disease, follow it’s progression or estimate one’s current risk of a coronary event.

Use yearly coronary calcium scoring by cardiac CT to follow plaque progression which should stay under 15% growth yearly (amount of radiation exposure equal to mammogram, cost $100-200 cash)

The beneficial pleotropic effects of statin drugs can be more effectively replicated, without the adverse effects of statins, by using the combined modalities of diet, lifestyle modification and supplements used by integrative medicine practitioners.  Here is one such list of items (half way down page).  There are others.

Treatment Approaches To Coronary Artery Disease
Source: “Heart Book” by Jeffrey Dach, MD (HB)

Aged Garlic – Allicin (HB, 57-69)
Blood Sugar control
Botanicals for NFKB
Diet and Lifestyle (“Heart Book (HB)”, pages 131-136)
EDTA
Essential Phospholipid IV (1/2 way down the page, Plaquex read here )
Fibrinolytic Enzymes
Homocysteine?
Leaky Gut (Eliminate wheat (HB, 128-130) & food elimination,
berberine (shrinks tight junctions) avoid
Magnesium
MTHFR
NSAID (HB, 119-124)?
Optimize Hormones (estrogen beneficial for heart health (HB,183-198, testosterone not harmful, probably beneficial (HB, 207-250, thyroid optimization (HB, 199-206)
Ozone
Lipoprotein(a) ?
Tocotrienols Vit E 200 mg/d (HB, 95-106)
Vitamin C (Linus Pauling Protocol: vitamin C 5-6 gms/d, lysine 5 gms/d, proline, 2-3 gms/d, (HB, 81-94)
Vitamin D3
Vitamin K2 – MK7 (HB, 71-79)

Jeffrey Dach, MD is Board Certified in Vascular and Interventional Radiology who now practice integrative medicine using nutrition, dietary supplements, hormones and lifestyle change to treat patients in an outpatient setting in Davie, Florida. You may contact Dr. Jeffrey Dach at 7450 Griffin Road, Suite 190, Davie, Florida 33314  telephone 954-792-4663 or click here to email a message.  You may purchase his book “Heart Book” online Here.

Be and Stay Well,

Kirk

 

Recent Posts

By Kirk Hamilton April 28, 2026
Thu, 14 Jul 2016 02:07:10 +0000 Berry consumption is shown to be protective against Parkinson’s disease in both men and women (apples are protective only in men) probably do to their flavonoid content. Obviously, you want to reduce your exposure to pesticides, but it’s just not in the fields with farm workers, it’s pesticides in […]
By Kirk Hamilton April 28, 2026
Sun, 08 Jan 2017 05:10:14 +0000 Chronic Inflammatory Response Syndrome (CIRS): What is It? Why Should We Care? What’s Does It Have to Do with Our Brain Function? (36:10 min)Kirk’s video overview of his interview with Dr. Jill Carnahan (8:19 min)Dr. Jill Carnahan’s Personal Story with Breast Cancer, Crohn’s Disease and CIRSDr. Carnahan always had […]
By Kirk Hamilton April 28, 2026
Sat, 16 Jul 2016 17:35:14 +0000 Great article! Physician-farmer grows the “plants” he prescribes to patients. One of his “ah ha” moments when his dad, who was given one month to live from pancreatic cancer, switched to a macrobiotic diet and lived another 18 months with excellent quality of life. He eventually sold his assets […]
By Kirk Hamilton April 28, 2026
Sat, 27 Aug 2016 20:39:18 +0000 Six or 7 years ago I had a gut infection and about month later I had an episode of what I believe was a version of Reiter’s Syndrome….For 2 weeks I had knife-like, burning urethritis (with no sign of infection), conjunctivitis – the white parts of my eyes were […]
By Kirk Hamilton April 28, 2026
Thu, 01 Sep 2016 03:39:09 +0000 Good-Bye Inflammation! How A Medical Doctor Reverses Chronic Diseases With A Hyper-Nourishing Diet Plan (33:27 min) Kirk’s overview video of his interview with Dr. Brooke Goldner (4:44 min)   Starting September 5, 2016 – Take Dr. Goldner’s FREE “28 Day SmoothieSHRED Challenge”! Dr. Brooke Goldner, a board certified psychiatrist, shares […]
By Kirk Hamilton April 28, 2026
Wed, 28 Sep 2016 01:11:56 +0000 Been traveling a bit this September for conferences every single weekend…one moreto go….IV Vitamin C in Cancer and Sepsis in Kansas City this Friday and Saturday…. September 10 went to Montefiore Hospital, Bronx, NY to see how plant-based cardiologistDr. Ostfeld teaches his one day Cardiac Wellness Workshop…I’m a bit […]
By Kirk Hamilton April 28, 2026
Thu, 08 Sep 2016 02:34:53 +0000 Dr. Marc Katz who received his combined M.D., M.P.H. from Tulane University School of Medicine in 1981. He completed his internship and residency in general surgery at the Medical College of Virginia, then a fellowship in cardiothoracic surgery, and additionally a fellowship in pediatric cardiac surgery at Boston Children’s […]
By Kirk Hamilton April 28, 2026
Wed, 17 Aug 2016 04:20:45 +0000 It is very popular to recommend fish oil for your brain to reduce the risk of dementia, memory loss or cognitive decline. This article is very timely since I have seen the power of the “75% packed greens diet” (smoothies and salads) mixed with added flax and/or chia seeds […]
By Kirk Hamilton April 28, 2026
Tue, 16 Aug 2016 06:37:21 +0000 This is how to make a hyper-nourishing smoothie…Do this for 28 days with a large raw salad daily, no added oils, no processed foods, 96 oz of water, at least a 1/4 cup of flax seed and some amazing things will happen to many of you!  Watch my video […]
By Kirk Hamilton April 14, 2026
Tue, 14 Apr 2026 04:28:40 +0000 Who Decides What Counts As Evidence? In 109 studies in 2022 regarding the relationship between the Covid Vaccine and Autoimmune Disorders “Nearly 60% of the studies reported relapses or flares, and approximately one-quarter documented new-onset conditions in individuals with no prior history of autoimmunity.” Claudia Chaufan, MD, PhD School […]
Show More