How to Prevent Heart Disease Before It Starts | VO2 Max, Testing, and Exercise Artwork

The Pain and Performance Podcast

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The Pain and Performance Podcast

How to Prevent Heart Disease Before It Starts | VO2 Max, Testing, and Exercise

March 17, 2026 • Derrick Hines

0:00 | 16:14

Heart disease remains one of the leading causes of death, yet it rarely develops overnight. In this episode of the Pain and Performance Podcast, Dr. Derrick Hines discusses why cardiovascular disease builds gradually over time and how early testing and lifestyle interventions can significantly reduce risk. He explains the most important markers to monitor, why VO2 max is one of the strongest predictors of longevity, and how exercise, sauna therapy, nutrition, and targeted nutrients can support long-term heart health.

In This Episode

- Why heart disease develops slowly over years and why prevention should start early

- The key cardiovascular tests that reveal risk, including ApoB, C-reactive protein, fasting insulin, and coronary calcium scores

- Why VO2 max is one of the strongest predictors of longevity and cardiovascular health

- How combining zone two training with high-intensity intervals can significantly improve heart function

- The roles of sauna therapy, targeted nutrients, and anti-inflammatory nutrition in supporting long-term cardiovascular health

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