Dr. Ryan Cooley's journey from a heart attack survivor to a pioneer in metabolic health is nothing short of transformative. After following conventional medical advice and still suffering a heart attack, Dr. Cooley began questioning the lipid hypothesis and delving into how diet and lifestyle can influence genetic predispositions. With a special focus on insulin resistance and cardiac health, he shares his insights and personal experiences, challenging the prevailing norms and shedding light on new approaches to preventing heart disease.

In this episode, we dig into the complex relationship between insulin resistance, visceral fat, and cardiovascular diseases like atrial fibrillation. Dr. Cooley explains how fat accumulation around vital organs triggers inflammatory responses and arrhythmias, advocating for a focus on metabolic health over merely lowering LDL cholesterol levels. His personal and clinical observations provide a compelling argument for a more holistic approach to managing heart health, emphasizing the often-overlooked role of cardiac fat.

We explore the nuances of reversing insulin resistance and the difficulties of diagnosing ectopic fat, often invisible from the outside. Dr. Cooley shares his transition from a vegan diet to a keto vegetarian and nearly carnivore diet, leading to improved lipid profiles and overall heart health. The discussion extends to the importance of satiety, specific medical tests, and the future of cardiometabolic care, including plans for a clinic centered on lifestyle interventions. Tune in to learn how these insights can pave the way for better preventive measures in heart disease management.

Key Takeaways
- Over 90% of arrhythmia patients show insulin resistance
- Fat accumulation around heart tissue directly impacts heart rhythm
- Traditional treatments often miss the metabolic root cause
- Dietary changes can improve or

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