Want to learn one of the basics of heart attack & stroke prevention... for free? Get free access to the CV inflammation course by completing this form: https://care.prevmedhealth.com/FreeOn.... Learn how to predict & prevent heart attack & stroke: https://care.prevmedhealth.com/How-To.... Learn how to reduce & reverse arterial plaque: https://care.prevmedhealth.com/How-To.... -- ABOUT THIS VIDEO: Heart attack and stroke have many causes and risk factors, ranging from lifestyle, obesity, diabetes, hypertension, high cholesterol, inflammation, dental infections, stress, etc. Which of these is the real cause? Maybe it's a common factor, like the mitochondria and cellular respiration. The reality is that we do not know. Cellular respiration and the mitochondria theory can be helpful in terms of both research questions and lifestyle, treatment issues. The functional item is what comes of the knowledge. What can we do to prevent or reverse early disease? For example, we know that there are many things we can do to decrease disease: a proper diet, exercise, and specific medications when indicated. There are a couple of examples: ACE inhibitibors and insulin resistance. We know that ACE inhibitors and ARBs improve insulin resistance. ACE inhibitors improve inflammation as well, so we recommend those when the patient tolerates them. Beta blockers have been shown to improve life expectancy post cardiovascular event. But one thing we often don't think about is the fact that so much cardiovascular risk is driven by insulin resistance ( est 70%). If that's the case, should we consider beta blockers that have a positive impact on diabetes? I think so. But this is often ignored in the hurried medical practice. If you're on Toprol or metoprolol and have cardiovascular risk and diabetes, consider carvedilol or Coreg. -- Read more about heart attack & stroke risks here: https://prevmedhealth.com/15-rules-to.... -- ABOUT DR. BREWER Dr. Brewer started as an Emergency Doctor. After seeing too many preventable heart attacks, he went to Johns Hopkins to learn Preventive Medicine. While there, he went on the run the post-graduate training program (residency) in Preventive Medicine. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has close to 1,000 primary care/prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, and stroke prevention clinic. At PrevMed, we focus on heart attack, stroke, and cognitive decline. We serve patients who have already experienced an event as well as those who have not developed a diagnosis or event. Dr. Brewer provides services via telemedicine or in person if you're in the Lexington, KY area. We find a lot of undiagnosed prediabetes or insulin resistance. Treating unrecognized risk factors like prediabetes allows reduction of risk and prevention of disease. If you are interested in becoming a patient, please visit our website: https://prevmedhealth.com. -- Blog articles: https://prevmedhealth.com/blog Webinars: https://care.prevmedhealth.com/Webinars Subscription program: https://care.prevmedhealth.com/Member... Online courses (CVI Inflammation, Insulin Resistance, Plaque Evaluation, and Heart Attack & Stroke Prevention Courses): https://care.prevmedhealth.com/Online... Support us through PayPal (http://care.prevmedhealth.com/PayPal) or Patreon ( / prevmed . -- You can also follow us on different social media sites: Facebook: https://bit.ly/PrevMedFB Twitter: https://bit.ly/PrevMedDocFordTwitter LinkedIn: https://bit.ly/PrevMedLinkedIn Supplements/Health Shop: http://bit.ly/PrevMedStore -- Get a High-Quality CIMT in a city near you! Register at CardioRisk.US/Ford (http://bit.ly/CardioRisk_Ford). TRANSLATIONS *** Please help by providing a translation of video captions for those that speak your language. Not everyone understands English, especially with my Southern US drawl. Click this link to provide translation services - help save lives!! https://bit.ly/PrevMedTranslationServ...