Holiday Re-Run: Dr. Philip Ovadia ON the Role of Diet modification in Heart Disease Treatment

Holiday Schedule Rerun:  Today, we have an insightful and enlightening conversation with an esteemed guest, Dr. Phillip Ovadia, a board-certified cardiac surgeon and the founder of Aveda Heart Health. Dr. Ovadia developed the Complete Metabolic Health System, designed to prevent and treat heart disease through modifiable lifestyle changes pertaining to diet and general lifestyle. On top of his admirable work as a surgeon, he's also an acclaimed author of the book, 'Stay off my operating Table.' Prepare yourself for a riveting discussion as Dr. Ovadia shares his insights, professional experiences, and unique knowledge about heart health in today's show.

1. Revisiting the best episodes and discussing incredible guest stories. 
2. Introduction and experiences of Dr. Phillip Aveda. 
3. The importance of metabolic health in preventing heart disease. 
4. The role of diet and lifestyle modification in heart disease treatment. 
5. Challenges faced by physicians and the need for systemic updates in healthcare. 
6. Dr. Phillip Ovadia's personal journey of health transformation. 
7. The importance of being open to new information and making lifestyle changes. 
8. Patient's responsibility of taking ownership of their health. 
9. Addressing common misconceptions about red meat and cholesterol.

Connect with Dr. Philip Ovadia
Cardiac Surgeon and Metabolic Health Specialist

Get the Book Stay Off My Operating Table
Twitter: @ifixhearts
LinkedIn

OvadiaHeartHealth.com

Get it in Amazon The Big Fat Surprise: 

https://www.amazon.ca/dp/192522810X/?ref=idea_lv_dp_ov_d

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Transcript

0:49

Hey guys, welcome back to the ketosis coffee podcast and welcome to those who are new listeners of the show you are in for a treat because it is that time of the year again, where we get to go back to the best of the best episodes and revisit these incredible stories from our incredible guests. We are very lucky to have these guests. So, today we are revisiting an episode with. Dr. Phillip Aveda. He is a board certified cardiac surgeon, and he is also the founder of Aveda heart health, teaching individuals and organizations, the complete metabolic health system with a focus on the prevention and treatment of heart disease by modifying your diet and lifestyle. This is great guys. He's also the author of the best-selling award-winning book. Stay off my operating table. So without further ado guys here is Dr. Phillip Vaidya and his story yeah. So, um, today, like every day, I am busy with the hybrid challenge of both taking care of people with heart disease and trying to prevent people from getting heart disease in the first place. So, my, the journey that got me here, like you said, I share it with many in your audience. I was very unhealthy myself. I was a morbidly obese, pre diabetic heart surgeon. And. The first step was I needed to figure that out for myself. And, I'm sure many in your audience will resonate with, my story that I was following all of the advice, everything I had been taught in school. I, did the eat less, move more. I ate according to the food pyramid, ate the low fat diet, and it led me to a place where I was increasingly unhealthy. And quite frankly, I was scared that I was going to end up on My operating table, my many of my family members have had heart disease. My grandmother died of heart disease. My dad has had heart surgery. So I saw myself heading down the same pathway and I was at a loss what to do, but thankfully. I started to come across some different ideas, some different information. I was, my journey really started when I heard Gary Taubes speak at a conference that I was attending. And of course, this was right when he had written The Case Against Sugar. And of course, prior to that had written Good Calories, Bad Calories, Why We Get Fat. And, those concepts that he spoke about were new to me. I read his books. I immediately, went down the low carb pathway. I had great success, ultimately losing over a hundred pounds, reversing my prediabetes. And more importantly, I came to recognize that, this could help my patients, that our approach to heart disease was wrong, and it was failing, and we need to do a better job as physicians, as the healthcare system, to address it. This problem. So that has led me to a place now where, I now work to keep people off my operating table and, also that's a new too. That's awesome. Yeah, that's awesome, sir. And sorry to cut you off there, but it's not every day that I get to interview. medical doctors on the nutrition side of health. And also you talked about today and along with your book, you teach individuals all about the metabolic health system and how these people can actually proactively, prevent heart disease. This is huge because, Again, for me, I've, I don't hear a lot of medical doctors talk about the lifestyle prevent, prevention or intervention on the side of health, because it's just, they're, they're not a lot of you guys. And that's why I love that you're here today to talk to my listeners, because you have such a amazing story that you were able to now use and link. What we're eating the lifestyle that we have to the major heart disease is the number one killer in the in the states today and You talking about this topic We can now right the wrong and shed some light on, maybe preventing the disease and from treating patients with heart disease, you turn to nutrition to help prevent it and which is amazing. Amazing to me. The thing that I am fascinated about is you. You said you talked about you grew up. Following the health guideline, talking about your family also followed that same path and you were doing everything you learned in medical school and you still develop prediabetes, which you've revert since. And at that point, you're, you must be very, very confused. And before you, and you talked about, you stumbled upon Gary Taubes and I want to ask you before you stumbled upon this lifestyle, lifestyle prevention side of things. How were you making sense of that when you were, when you develop pre diabetes, before you stumbled upon the work of Gary Taubs, how were you making sense of all of that? I think I fell into the same trap that most people and many physicians fall into, just that this. is a genetic problem, as I said, my grandmother has heart disease. My, my father has heart disease, obesity runs in my family. So, Oh, it must be a genetic thing because, I'm trying what I've been told is supposed to work and it's not working. The other. Part of that discussion becomes, well, I must not be doing it well enough. I must need to do it harder. I must need to do it better. Which is another tactic that quite frankly, physicians often take with patients. We give patients advice, the advice doesn't work. It must be because the patient didn't follow the advice correctly. I Think that that is a failing of our medical system, quite frankly, the fact that we haven't looked at. The problem, we have been fighting the battle against heart disease now for 70 years, the 1950s is when the alarm bells started going off about heart disease becoming more prevalent when heart disease became the number one killer in the United States, and we are 70 years into this fight. We have been giving the same message. Essentially for, the vast majority of that time that it's saturated fat causes heart disease that we need to lower, our blood cholesterol levels. We need to eat less fat and that will that will prevent heart disease, but the evidence is exactly the opposite because we do eat less fat. We do eat less saturated fat, our cholesterol levels are lower and yet heart disease is still the number one killer. So we. Need to step back and say, why is this failing? And I don't think we can use those excuses anymore that, people aren't doing it. People aren't following it. We need to confront the fact that it is. It was bad advice to start with the theory. The, the hypothesis, which is what it is, um, was built upon faulty science and the experimental evidence that is all around us is that it is not working and we need a better approach. Let's get back to that. I believe this is crucial to this discussion, Doc, because the topic of cholesterol and, I think we can shed some light to this topic and a lot of people are confused. The truth about cholesterol and My first reaction to this is, I'm heartbroken, because we talked about heart disease being the number one cause of death in the United States, and I understand that medical doctors are, following an old guideline, and how are they not connecting the dots like you did? Well, quite frankly, the challenge for physicians is twofold. One is they are quite frankly overwhelmed taking care of all the sick people. They are the healthcare system. Physicians are struggling to keep up with how sick people are, how many sick people there are. And so, they don't have time to step back and think about why do we have so many sick people? What should we be doing different to? Prevent that. And then, the, um The, the education system for physicians, the health care system that physicians are working in also kind of force them into this, groupthink. I mean, it is literally dogma that, high cholesterol causes heart disease and you, you can't question that, there are, there are guidelines, that physicians, in many ways are forced or heavily incentivized to follow that say, you need to lower a patient's cholesterol and, there's a whole discussion behind how those guidelines came to be, but that is the environment that doctors are working within. And so, I don't, I don't put all of the blame on the physicians, but if physicians don't start waking up and don't start questioning these narratives, it leads us as the physicians into a bad place, just as it's leading the patients into a bad place. So for any physicians, doctors, medical doctors that comes across this information and choose to brush it off, that's criminal to me. Is that a harsh assessment? Is that a harsh assessment, doctor? Well, yeah, I would say once you, once you know about this, if you don't act upon it, if you don't, put that into your practice, yes, I think that is, ethically, wrong as a physician. Our first responsibility as a physician is to take the best care we can of the patient. So once you're aware of the information, once you see what, the results of, of, changing your diet and lifestyle can do, if you don't act upon that, you are at fault, but realize that most physicians don't see this information. This information isn't out there. It's not in the educational system. It's not. Highlighted promoted by the medical societies. It's not in the guidelines that get put out. And so, the one of One of the major issues is that, I had to go and find this information, it wasn't presented to me. And as I said, most physicians are so overwhelmed that they don't have the time to go and find the information. They don't even have the time to think about the question quite honestly. And so, that, that's kind of where we're at. That's the, that's the side of doctors. Let's go to the side of the patients now. Patients rely on their doctors and I know we say just change your doctor if you're not confident in your doctor anymore. But people are not adamant to changing their positions and that's a fact. Where's, where do you think is the disconnect there? Because, I don't have to go very far. My parents knows about this diet, the lifestyle, and I've given them many, many resources. About, my dad is type 2 diabetic, and I gave him many resources, but what's stopping him from, making a change is his doctor. Right? And truth is, he is not adamant to changing his doctor. And, I could imagine not a lot of people are. But, what could the patient do if they know this information but their doctor isn't willing to? And, maybe advice. Yeah, so, the first step in this journey from a from a patient standpoint is you need to take ownership of your health. You need to take, you need to stop outsourcing your health to other people. Your doctor is not going to make you healthy. Your doctor will hopefully support you in that journey. We'll be able to educate you in that journey, but. It is up to you, the individual, to be in charge of your health. And, once you do that, then you can approach things differently. You can seek out the information, you can have the conversations with your physicians differently. But, a lot of people aren't willing to do that, aren't able to do that. Quite frankly, a lot of people, want the comfort. They want to just do what's easy and what's easy is doing what everyone else around you is doing. And we have to realize that everyone around you is sick for the most part. 88 percent of the adults in the United States are not metabolically healthy. 60 percent of adults over 50 years of age are on multiple medications. So, if you do what's easy, if you just do what's around you, you're going to get those same results. There's no reason to think You would get different results from doing the same thing, and so you're going to end up sick just like everyone else around you. And, quite frankly, if you're okay with that, there's nothing I can do really to change your mind. I always, I always tell people, I can't force patients to do anything. A lot of people come to me with that same question. Oh. I've had all these positive changes. My family member, is in need of the same. They won't do it. And my answer is you can't force that person to do it. You can keep demonstrating, success, demonstrate the good behaviors. You can keep trying to sort of subtly influence them. But ultimately, they have to make that decision that they want to put this effort into their health and, and then you can be there when they do make that decision and, be a guide for them. But it has to start with each of us as individuals deciding we want to be healthy, we are going to take control of our health. So this is why I'm very grateful for your work, Doc, because at least somebody with a. With a platform like yours is willing to right the wrong here. And I believe that even though we do not have, like you talked about power to change minds here, we can start telling our stories, right? You've given people options. If done properly, can prolong someone's life. And again, we talked about heart disease being the number one cause of death in the United States. And by. You talking about this, this fact of prevention and how we can prevent heart disease by changing our lifestyle is slowly turning heads and slowly, getting people curious. Dr. Philip Ovadia wrote a book about all of this. The title of the book is Staying Off My Operating Table. We have a limited time here, guys, so I'd like to get to, some questions here. As many as we can. Let's get to the major issue here. So everyone listening right now, I think, is thinking the same thing. People get turned off by keto or carnivore because of the issue of saturated fat, red meat, cholesterol. Um. Um. What have you taught your clients about this and why shouldn't they be so afraid of eating red meat on a keto diet? Yeah, so, the bottom line is is that there is no high quality scientific data that links the consumption of Red meat to heart disease full stop and anyone that wants to challenge me on that I'm open to that discussion, we have weak Epidemiologic data is the only basis for for that, that theory. We have to acknowledge the fact that, the American Heart Association, the U. S. dietary guidelines, which are usually what are pointed to as the reason we need to be limiting our saturated fat consumption, both have said that There is no need to limit saturated fat, that it is not a nutrient of concern for overconsumption and, um, this, but, they did so and they didn't really publicize that, for, for 30 to 40 years, they had the saturated fat is, needs to be limited, saturated fat needs to be limited, and then they just sort of quietly backed away from that, but they didn't promote that fact. So again, most doctors are unaware that those you know, those limitations are no longer in the guidelines. The diet heart hypothesis, and again, realize that it is a hypothesis. It has not been proven, but the diet heart hypothesis that says that the more saturated fat, the more dietary cholesterol that you consume leads to higher blood cholesterol levels, and those higher blood cholesterol levels then lead to heart disease. Um, It is flawed on many fronts, both sides of that hypothesis, whether eating more saturated fat and cholesterol raises your blood cholesterol level, that relationship is inconsistent, and whether having high cholesterol level leads to heart disease, again, is, is just not correct. Thank you. The fact now I always want people to understand here. I'm not saying that cholesterol is meaningless. What I'm saying is it's not the primary driver of heart disease and therefore focusing on it as our primary tool to prevent heart disease is Going to work does not work. Again, the evidence is all around us. Many of the patients that I end up doing heart surgery on do not have elevated cholesterol levels. We have, plenty of data going back 50 years, studies from before statin drugs were around showed that half of the patients that came into the hospital with a heart attack did not have elevated cholesterol levels. It was a 50 50 shot literally. So, anyone looking at this logically would say, okay, cholesterol isn't the whole story. It might be part of the story, and we need to acknowledge that, but it's certainly not the whole story. So, eating red meat does not cause heart disease. Saturated fat in the diet is not the cause of heart disease. And that should not be our primary focus. And, I then zoom out and talk about the sort of evolutionary picture that we as human beings have been eating, saturated fat have been eating animal products for our entire existence as human beings. And heart disease was basically undescribed or very, low incidence, um, until about 100 to 150 years ago. The animals, the animal products, the saturated fat in the animal product, it didn't change 100. And 150, to 150 years ago, something else changed in our diet. And, we now know that something else is processed food, basically. So that's what we should be looking at as the primary dietary driver of heart disease. 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So, cholesterol is not the whole story there with heart disease, like Dr. Avella alluded to. And, what is the real cause? What's the real cause? Again, Doc, you talked about processed foods. What else can be causing heart disease? What else can we start looking into? Or what have you, taught your patients to avoid in these scenarios? Yeah, so, we look at really two things, so the first thing I look at is metabolic health, insulin resistance. This has consistently been shown in the scientific studies to be a much bigger risk factor for heart disease than an elevated LDL cholesterol level. And, every study that has compared the two, insulin resistance comes out as a bigger risk factor. Ultimately, Even kind of stepping, stepping back from that, it really comes down to inflammation, things that cause inflammation in our blood vessels, things that damage the blood vessel walls are. Ultimately, what is leading to heart disease because that inflammation then sets off a cascade of event of events that involves cholesterol, by the way, cholesterol is part of the repair mechanism that responds to that blood vessel damage involves blood clotting that ultimately ends up leading to the heart disease. So we have to. Focus on those things that are causing the inflammation and those are insulin resistance, high blood sugar levels, things like smoking, things like stress can cause inflammation in the blood vessels. And that is what we need to focus on if we're truly going to have an impact on heart disease. And you've probably gotten this question so many times in your, in your career. And. I believe uncovering this truth can lead people to shift to what's really causing the issue here, the issue of heart disease in the keto and carnivore that, uh, communities, we know that fat isn't the problem, both through, the tremendous work of our leaders here in our community and also through our own experiences. And we all know that no fat. It has always been vilified, red meat has been vilified, and still is to this day, still being vilified for what, processed foods, sugar, just the changing landscape, and it's, it's harder and harder now to navigate this lifestyle with whenever you go to the groceries, there's, processed foods all around the corner, there's fast foods everywhere. And essentially carbs, people are confused with carbs and sugar and people, not a lot of people actually knows that carbs turns into sugar in the blood and that actually boggles my mind because why isn't that also because my dad, he, he, Was diagnosed with type 2 diabetes and and he told me that he doesn't like sweets Anyway, so it's it must run in in the family so he never looked at how how much carbs and processed food he was eating because he thought it was Sugar and since he's not eating sugar, it must be it must run in the family What are there's a lot of things that you know the medical system is missing here. And like I said, are they just following the old beliefs of the medical system and what needs to happen for them to actually advise a different treatment for, yeah, so. You know, I ultimately, um, it takes a long time for systems to change. We can't wait for that. We meaning the patients who are suffering with type 2 diabetes. We meaning the physicians, but there are some signs of change coming. The past president of the American Diabetes Association, she, was a vocal. Advocate of a low carbohydrate diet. She talked about how a low carbohydrate diet helped her, manage her diabetes. We have the, the data that has come now from the Virta health, study showing that a low carbohydrate diet can be very successful in managing and reversing type 2 diabetes. So, um, There is some signs of progress, this, again, what I tried to do in the book is help make this simple and I always differentiate simple from easy, it doesn't mean it's easy to do, but the concepts are pretty simple. Eat real food, eat the things that grow in the ground and eat the things that eat the things that grow in the ground. And, if we just start there. That is going to lead to vast improvements in health because the majority of what we eat Today in the United States, and really this has become a worldwide phenomena, is not real food. It is processed food that our bodies did not evolve to eat. So, you know, I, I start simple, and if I could get one rule, one thing, one concept through to people to start with, it would be eat real food. And then we can go from there. We talk about prevention. And we also talk about how heart disease is the number one cause of death. And something so deadly can be. Reversible, we know that now for a fact, and something so deadly can be preventable, and I'm just glad that somebody's talking about this because, your, your mission is to help people understand their metabolic health and how they can prevent the disease even before it gets to, a dire situation. So we talked about heart disease being reversible. Have you seen? Somebody that wasn't able to reverse this condition through following this diet. I'm just curious. Yeah. So. Yeah, certainly there are situations where the, that there's been too much damage already done and you can't undo that. Now, that doesn't mean you can't improve, but you may not be able to undo it. So, for instance, now, the patients who do end up on my operating table, the discussion I have with them is, you have advanced heart disease, you You know, this operation that I'm going to do is a way to manage the symptoms of that, make you feel better, extend your life, lower your risk of having a heart attack or another heart attack, but it is not addressing the underlying problem that led to you developing the heart disease in the first place. And if we don't address that underlying problem. I'm only putting a Band Aid on the problem and it's going to progress. It's going to get worse. And again, we know this, this is the, this is the experience we see over and over. So we need to address that underlying problem. And that's where the diet, the lifestyle, all of these things come into play. So, yes, I've seen many situations where people have been able to improve, have been able to, in some cases, lower coronary artery calcium scores, for instance, but you know, that doesn't mean that we can undo everything. And, I don't want to give people that false impression that, if you have advanced heart disease already that, just change your diet and you can ignore the advanced heart disease that you have already. But if you don't have advanced heart disease, I think the best way to prevent it is by addressing your diet and lifestyle. So let's, let's stop the damage from getting worse. Is the first priority and then let's see what we can do to improve the situation. I'm, I'm so curious on when you started to shift to more of the prevention treatment. You have colleagues that you work with. I'm curious on what type of feedback have you gotten since, if you, if you can go back to, was it seven years ago that you made a change? Yeah, it's been, seven years now since I made this change, I have obviously gotten healthier. So, my colleagues oftentimes, respond to that and, especially the ones that knew me then and now, know me now, it, it's still largely viewed skeptically by my colleagues, they, like I said, they are still trapped within that system of, and trapped within that way of thinking that, heart disease, can't be prevented. Heart disease, can't be managed only by diet and lifestyle, all of these things. And, I just do what I can, like I said, similar to not being able to convince the patient who doesn't want to, change their health. that they can change their health. I can't convince my colleagues that don't want to change their way of thinking to necessarily change their way of thinking. But I just continue, that won't stop me from helping the patients that I help and, helping as many as I can. And a lot of them are open to it. A lot, I do have, physicians that I work with, nurses that I work with, other healthcare practitioners that I work with who are open to this and are. perhaps they are struggling with their own health problems. And, I'd say maybe you should try this, maybe you should think about this and, subtly start to influence them. The community of physicians who are talking about metabolic health, low carb diets, is growing. I go to the conferences, there are more and more physicians there from more and more different, specialties there. And so there is hope. This movement is gaining traction and, we can keep moving forward. Like I said, we can't wait for the system to change. We just have to, each one of us as individuals, needs to keep working on this problem for ourselves. And when enough individuals start questioning these things. That is ultimately how change occurs for me. It only takes one to talk about this and you definitely won there. No, very much a leader in this space and somebody who has written a great book about understanding how we can prevent. And, throughout our life, basically, and doctors who takes the time to explain nutrition is, so uncommon. And that's why I am just so glad that I think your experience with, with your own health has led you to your mission today, helping other people reverse their condition as well. Your career, your experience, your, your metabolic health. It's the, it's what became the, the formula that now you can share that story to help other people do the same. And I want to go back to when you were. When you were diagnosed with, developing prediabetes, you were advised to eating a low fat diet, moving more and, and eating less. Now we know that eating a low fat diet can cause all sorts of, hormone imbalances and poor vitamin absorption. Constant hunger is the big one. Eating a low fat diet causes constant hunger and pair that with eating less. And you got a generation of people with a poor relationship with food, fat and confused. And luckily for some of us, we find these people doing great work, like Dr. Philip Ovadia, people about this. And I want to ask you, why Do you think you didn't just brush off this information? Why is it resonated with you? I want to know, I'm curious. I think, and this is something I think about often, honestly, because, I was one of, A thousand physicians sitting in that room, when, when Gary was giving the lecture and, I probably, I'm the only one that I know of who has made this change certainly has been, out there and vocal about this change. So, I do think about that, for whatever reason, I was open to hearing that information. And I think, as I said, most doctors don't have time to think about this. Just, it's easier just to keep doing what you're doing than to change ultimately. And so it comes back to you have to be open to change. You have to be willing to change. You have to have a reason to change. I had young children, that I want to be around for, and I want to be a model for my wife and my family. And so all of that, made me open to really hearing what Gary was talking about, really absorbing that information and then taking the next step of, okay, Now I got to make this change. I need to make this change for myself. I need to educate myself on this. It certainly wasn't as easy as, just read Gary's book and, and go, I, uh, it's literally been thousands of hours of going through the medical literature, reading other people's books, and then obviously all the time now that goes into writing, writing my own book and, and working with the patients and, and, uh, Coming on podcasts like this, posting my own podcast, all of that. So I think it comes down to, being willing to change and then being willing to put in the effort that it takes to change. Cause it's so easy for you to keep this to yourself. You have a glaring career in your, in the medical field, physicians and medical doctors, you talked about it. They're busy and it's not easy to pivot. Especially when you are, doing so well with what you're currently doing. But for you to be able to pivot into this direction, I believe that you wanted to make a change. Like what, the change that you've done for yourself. And that's huge for, that's huge for people. And like I said, this is the number one killer in the United States. And you are changing the landscape here and you are inspiring a lot of medical doctors to, follow suit. And for anyone, if you have an advice for anyone that's maybe coming up, uh, a medical doctor like yourself that comes across this information. What's your message to them and what, what should they do and how should they go about that? So I think, my first message would be, be open minded, be willing to change, be willing to admit that you were wrong. That was another big thing, I can admit that, what I was doing before was wrong. It was the only thing I knew to do at that time, but now I know differently, and now I can say that was wrong, and I, I know that I am a much better physician today. I know that I am much happier in my career, in my life, and that's a big challenge right now. Doctors are getting burnt out. Many doctors are leaving medicine because, they're so overwhelmed and they're so sort of defeated by the system. This can help. Um. But again, it all starts with being open minded, being willing to, take in new information, being willing to change your way of thinking. And then, the next, I think, very helpful thing is then find a community to, be a part of, to rely on, because certainly I can't do this myself, I haven't done this myself, and, getting involved in the low carb, metabolic health, medical community has been a great, has given me support, has given me strength, has given me resources to draw upon. And so I think, both at the physician level and the individual level, similar to patients finding, your podcast, finding the community around that, finding, the, the ever growing online, community or in person community, people around you. That are going to support you in your journey that are on the same journey. That is another greatly beneficial step in this process. I love that so much. I am definitely confident that, to anyone that's going to come across your work, given your, your stature, given your. Your experience as a medical doctor, given your story, you have the ability, sir, to, to change someone's mind, to shift their mindset into finally making a change, because you have that education, you have the experience, you also have the story, and you have, your portfolio with you. That you can make a change and, unfortunately I, I can't do that. I don't have the background in medicine, but you can, you, you can definitely make that change. And that's why I'm so happy that you're on here today. Talking about the fact about correct cholesterol, the fact, the truth about what's causing heart disease and what's ultimately a patient can do to, shift their shift that shift their mindset and also. Change your life to prorong in their life by just, understanding the metabolic health, the complete metabolic health system. You also talk about this on your book, uh, staying off my operate operating table. I want to talk about that book for a second here, sir. What has led you to writing that book and what was your goal? Why you wrote that book? Yeah. So my goal in writing the book was. To get this information to as many people as possible. obViously I can only work with so many people one on one. I can only, there are geographic limitations. There are all sorts of limitations on who I can work with. So the purpose of the book was to get the message out to a larger audience and to do so in such a way that it was easily digestible. My purpose for the book wasn't to go through all the science. Supports this way of eating or these ways of eating, it was to try and give people simple, actionable areas of focus that can help them to get to better health, to understand what metabolic health means, how to measure it and, how to implement it into their lives. So, I hope I accomplished that so far, the feedback has been very good, the book is selling well, is well reviewed, has won, won some awards, so I, certainly, like I said, hope I encouraged, I hope I accomplished my goal, and I continue to look for more and more ways to work with more people, I am putting out, if people go to my website, ifixhearts. com, we have courses, online courses that they can take. We are launching a group coaching program that will again allow my team and I to work with more people. And I do have my medical practice. It's a telemedicine practice. It's available, throughout the United States to people who do want to work with me one on one on their medical issues. We're going to link everything here in the description below, guys. If you want to check out the book, get the book, Staying Off My Operating Table by Dr. Philip Ovadia. I'm just glad that we have an ally here like yourself, sir, that's willing to talk about, the metabolic side of things and prevention because there's a lot of people suffering out there think that they are doomed because of their disease that, frankly, we talked about how much this is, affected. America, U. S. as a whole, and, starting with just lifestyle, you can, you can make a difference. So thank you so much. Where can people find you, sir? The easiest way to find you. Yeah. So iFixHearts. com is the website on Twitter, which is where I'm most active on social media at iFixHearts as well. And the website has the rest of the connections or the connection to my medical practice, the book, the courses, the group coaching program. That is launching as we record this. So encourage people to reach out to me there. Thank you so much, Dr. Philip Ovedia for sharing your story here and for, just getting the word out there and helping other people, reverse their heart disease. So I'm going to have to re listen to this episode guys, and make sure you've, written down some notes because there's a lot here. That's a very valuable, lots of nuggets of information here. So doc, thank you so much, sir. I appreciate you. Thank you for having me on. Thank you. Thank you. Thank you for tuning in to another great episode here on the ketones and coffee podcast. And we've had such a pleasure of hosting yet another amazing guest here, guys. If you're eager to learn more about the secrets of succeeding on the ketogenic lifestyle. Be sure to check out the show notes. As a special treat for our loyal listeners, I'm offering an exclusive opportunity for a free consultation call. Discover how you can achieve success on the ketogenic lifestyle by simply referring to the details provided in the show notes. Take advantage guys of this unique chance to enhance your journey. to a healthier you and stay tuned for more captivating episodes and until next time guys keep embracing the power of ketones