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0:00 Did you know that the cholesterol in your food is not what is clogging your arteries? The pharmaceutical industry has spent decades pointing you at the wrong target. [music] And the real reason plaque builds up inside your blood vessels is something almost no cardiologist has time to explain in a standard appointment. The good news is this. The fastest way to start reversing arterial plaque is not a statin, not a procedure, and not cutting every fat out of your diet. It is about adding specific foods that do the one job those drugs were never designed to do. Calm the fire underneath the plaque, repair the lining of your arteries, and give your own body the tools to start cleaning them out from the inside. I have seen it first-hand in my own patients. Over one decade in cardiology,
0:46 I have watched men and women in their 50s, 60s, and 70s come back with follow-up scans showing measurably less arterial stiffness, improved blood vessel function, and inflammatory markers dropping toward normal. Not from adding a new prescription, but from changing what is on their plate. And not by starving themselves, by adding the right foods in the right amounts consistently. Some of them saw measurable changes in their blood panels within weeks. So, in this video, I'm going to show you the 10 most powerful foods for arterial health, exactly how each one works inside your blood vessels at the cellular level, and precisely how to use
1:31 each one starting today. If you have been told your arteries are narrowing, your cholesterol is climbing, or that you are heading toward a procedure, watch this entire video before you make any decision. Before I get into the first food, do me a quick favor. If you want more videos that explain what is actually happening inside your cardiovascular system, not just what pill to take, hit subscribe right now, and leave me a comment telling me your last LDL or total cholesterol number from your most recent blood panel. I read every single one. The numbers in this community literally shape the content I make next. Also, come join our private Instagram community where I give honest, real answers to all your health concerns. Thank you so much. Now, let's get into
2:18 it. Here's what almost no one explains to you in a standard 15-minute cardiology appointment. Plaque does not build up in your arteries because you ate too much butter. It builds up because the inner lining of your artery, a one-cell-thick wall called the endothelium, becomes damaged and chronically inflamed. And when that lining is inflamed, LDL cholesterol does not just float through harmlessly. It gets inside the wall. It oxidizes. It converts into foam cells. Your immune system rushes in trying to fix it, and in doing so, makes the plaque thicker and harder with every passing year. Cholesterol is not the arsonist. Inflammation is. And most medications lower the smoke alarm without putting
3:05 out the fire underneath it. The system is built around managing your numbers, not reversing the disease. There is no revenue model in teaching you how to eat your way to a healthier artery. There is significant revenue in a lifetime of medication and eventually a procedure. That is not malice. That is economics. But it means the conversation you actually need has never happened inside a doctor's office. My name is Dr. Leana, and I have spent 10 years in interventional cardiology watching what happens inside human arteries. Every one of these 10 foods does one of three jobs. It repairs and protects the endothelium, that critical one-cell lining. It quenches the inflammation that turns
3:51 LDL into plaque. Or, it physically helps reverse the damage that is already there. You do not need all 10 starting tomorrow. Add them in over the next 2 weeks and let them stack. Here is the first one. The first food is fatty fish, salmon, mackerel, and sardines specifically. And this one addresses the deepest problem of all. Your arteries are not clogging because of fat in your food. They are clogging because of chronic low-grade inflammation eating away at the lining of your blood vessels. And nothing in the entire food supply attacks that inflammation at a deeper level than the omega-3 fatty acids EPA and DHA found in cold-water fish. Here's what these fats do inside you. EPA and DHA incorporate directly
4:39 into the walls of your cells, including the endothelial cells lining your arteries. They physically change the character of those membranes. They suppress the inflammatory messengers, cytokines and prostaglandins, that recruit immune cells to the arterial wall and trigger the cascade that deposits plaque. They lower triglycerides, which are one of the most underappreciated drivers of arterial disease. The PREDIMED trial, one of the most comprehensive cardiovascular nutrition studies ever conducted, found that populations eating fatty fish and Mediterranean foods regularly had dramatically lower rates of major cardiovascular events than those following a standard low-fat diet. In my own practice, the patients with the cleanest inflammatory markers are
5:25 almost always the ones who eat fish consistently. How to use it? Aim for two to three servings a week, about the size of your palm each time. Wild salmon, mackerel, sardines, and herring are your best options. If budget is a concern, canned wild salmon and canned sardines are two of the cheapest and most powerful foods in this entire video. Bake it, grill it, or eat it straight from the can. Do not deep fry it. The heat destroys what you came for. Now, I know that eating fish two to three times a week is not realistic for everyone. Travel, schedule, or simply not loving the taste. In that case, a high-quality omega-3 supplement is the next best option. The brand I personally take and recommend to my patients is
6:11 Nordic Naturals Ultimate Omega. It meets all of those criteria, and it is the one I have linked in the description below. Also, popping down here. If you are not eating fish regularly, this is non-negotiable for your arteries. Caution, if you are on blood thinners, high-dose fish oil can have an additive effect. Talk to your doctor before supplementing. The second food is extra virgin olive oil. And the words extra virgin are not marketing language. They are the difference between medicine and cooking grease. Here's why. When an olive is cold-pressed within hours of harvest, the oil retains a compound called oleocanthal. Oleocanthal behaves almost identically to ibuprofen at the molecular level. It blocks the same inflammatory enzyme,
6:57 COX, that ibuprofen blocks. Except, instead of taking a pill occasionally, when you use extra virgin olive oil every single day, you're delivering a small continuous anti-inflammatory dose directly to the lining of your arteries with every meal. On top of that, EVOO is rich in a polyphenol called hydroxytyrosol, which prevents LDL cholesterol from oxidizing. Remember, oxidized LDL is what gets trapped in the arterial wall and becomes plaque. If the LDL cannot oxidize, it cannot embed. The PREDIMED trial found that individuals consuming extra virgin olive oil daily had a 30% reduced risk of major cardiovascular events compared to the control group.
7:43 How to use it? Two to four tablespoons of genuine extra virgin olive oil every day. Drizzle it over salads, vegetables, fish, or whole grain bread. Use it for low to medium heat cooking. Do not substitute refined or light olive oil. The active compounds are removed in the refining process. Check the label for a harvest date within the last 18 months. No harvest date means it is almost certainly oxidized and most of its benefit is already gone. Up to 70% of olive oils labeled extra virgin in the United States fail to meet the actual standard. They are old, oxidized, or cut with cheaper oils. The only way to be sure is to buy from a brand that shows a harvest date on the label and undergoes independent chemical
8:31 testing. I have been using California Olive Ranch for over 3 years. Number three is garlic. Raw garlic specifically. And if you are going to skip any food on this list because it seems too ordinary, do not let it be this one. When you crush or chop a raw garlic clove, an enzyme called alliinase immediately reacts with a compound called alliin. That reaction creates allicin, one of the most studied cardiovascular compounds in the plant kingdom. Allicin inhibits an enzyme called HMG-CoA reductase. That is the exact same enzyme your statin medication targets. Garlic is, in effect, a natural partial statin without the muscle side effects.
9:18 But allicin does more than statins do. It also directly reduces the oxidation of LDL, lowers blood pressure by relaxing the smooth muscle in arterial walls, and research published in the Journal of Nutrition found that aged garlic extract measurably reduced coronary artery calcium scores, a direct measure of calcified plaque inside the coronary arteries in patients with metabolic syndrome. How to use it? Crush or chop the garlic and let it sit for 10 full minutes before it touches heat. That 10-minute window allows the allicin to fully form. Skip this step and the enzyme is destroyed before it does anything. You get flavor without the medicine. One to two cloves a day, added to olive oil, stirred into salad dressings, or
10:04 folded into cooked vegetables right at the end with the heat off. If raw garlic causes you stomach discomfort, or you simply cannot make it a daily habit, aged garlic extract in capsule form has equivalent cardiovascular evidence, and in some studies on coronary artery calcium, it actually outperformed raw garlic because of its higher concentration of stable sulfur compounds. The specific brand used in most of the published cardiovascular research is Kyolic Aged Garlic Extract Heart Formula 100. That is the one I link in the description, and it is the one I recommend when patients tell me the kitchen option is not working for them. Fourth on the list is pomegranate, and this one has the most remarkable direct evidence of any food on this list when
10:50 it comes to actual plaque reversal. Pomegranate is loaded with a class of polyphenols called punicalagins. These are among the most powerful antioxidants found in any fruit, and their primary job inside your cardiovascular system is to aggressively neutralize the oxidative stress that converts LDL into foam cells, the building blocks of plaque. Here's the study that stops people in their tracks. A clinical trial published in Clinical Nutrition followed patients with carotid artery stenosis, measurable narrowing of the neck arteries feeding the brain. One group drank pomegranate juice daily for 1 year. The other group did not. At the end of the year, the control group's plaque had grown by 9%.
11:36 The pomegranate group's plaque had shrunk by 30%. That is a direct, measurable reversal of arterial plaque from a fruit. Blood pressure and oxidized LDL also dropped significantly in the same study. How to use it? Half a cup of 100% pure pomegranate juice daily or the seeds from one whole pomegranate. Buy juice with no added sugar. The sugar in sweetened versions cancels most of the benefit. Or eat the seeds directly, which also gives you fiber. The juice used in that carotid artery study was 100% pure pomegranate, no additives, no added sugar, no blends. POM Wonderful is the brand that lines up most closely with what was studied, and it is the one I link in the description. If you prefer
12:23 a supplement form, which is more concentrated and easier to dose precisely, pomegranate extract standardized to punicalagins is a solid alternative. I have included both options below, so you can choose what fits your routine. Caution, like grapefruit, pomegranate interacts with certain blood pressure and cholesterol medications. Check with your doctor if you are on either. Fifth is leafy greens. Spinach, kale, Swiss chard, arugula. And this one works through a mechanism that genuinely surprises most of my patients. These vegetables are rich in dietary nitrates. When you eat leafy greens, bacteria in your mouth convert those nitrates into nitrites, and when those nitrites reach your bloodstream, your body converts them into nitric oxide. Nitric oxide is one of the most
13:09 important molecules in your entire cardiovascular system. It is the primary signal your arteries use to relax and dilate. When your endothelium is healthy and producing nitric oxide properly, your arteries are flexible, blood pressure is lower, and blood flows without resistance. When nitric oxide production drops, which happens as arteries age and accumulate damage, walls stiffen, blood pressure rises, and plaque builds faster. Leafy greens top up your nitric oxide supply directly. Multiple analyses have found that regular consumption of dietary nitrates from vegetables is associated with significantly lower systolic blood pressure and improved arterial flexibility. How to use it? One to two cups of raw leafy greens a day or a
13:55 large handful wilted into a pan. Combine spinach with the olive oil and garlic from earlier and you have built an anti-inflammatory nitric oxide boosting meal base in under 5 minutes. If getting two cups of leafy greens every single day is a realistic challenge for you, travel, work schedule, or just not loving the taste, a high-quality greens powder that contains concentrated vegetable nitrates is a legitimate backup. I want to be careful here because most greens powders on the market are essentially grass clippings with a label. What you need is one that has been independently tested for actual nitrate and polyphenol content. AG1 by Athletic Greens is the one I recommend to patients who struggle with consistent vegetable intake. It is
14:41 comprehensive, third-party tested, and I've included a link with a free starter kit in the description below. Caution, if you are on warfarin, talk to your doctor before significantly increasing leafy green intake. The vitamin K content interacts with warfarin dosing. Number six is walnuts and of all the nuts I could put on this list, this is the one most directly targeted at what is happening inside your arterial walls. Walnuts are the only tree nut with a meaningful amount of ALA, the plant-based omega-3 fatty acid. Combined with their content of the amino acid L-arginine, their polyphenols, and their fiber, walnuts deliver a four-way attack on arterial disease simultaneously. The L-arginine is particularly important. Your endothelial cells use
15:27 L-arginine as the raw material to manufacture nitric oxide, the same molecule we just talked about with leafy greens. Walnuts supply your arteries with more of the building blocks they need to produce their own dilating signal. A landmark trial from Penn State found that participants eating walnuts daily showed significantly reduced LDL cholesterol, reduced blood pressure, and critically improved endothelial function as measured by flow-mediated dilation. That last measurement is the closest clinical proxy we have for actual arterial flexibility. How to use it? A small handful, about a quarter cup, or 7 to 10 whole walnuts, raw or dry roasted only, not honey glazed or salted, which adds sugar and excess sodium.
16:14 Replace your afternoon snack with walnuts and you have converted a blood sugar spike into an arterial repair session. One thing most people do not realize is that the omega-3 content in walnuts degrades significantly if they are old or stored in warm conditions. If the walnuts you buy from a bulk bin taste even slightly bitter, they are rancid and the ALA is oxidized. I buy mine vacuum sealed and refrigerated. I have linked the brand I order consistently in the description. Seventh is turmeric, and specifically the compound inside it called curcumin. Pay close attention to how you use this one because most people are getting almost no benefit from the turmeric they buy. Curcumin works at the molecular level by blocking NF-κB, one of the
17:01 master switches that turns on the inflammatory cascade inside arterial walls. When NF-κB is activated, it triggers the sequence that damages the endothelium, oxidizes LDL, and recruits foam cells to to plaque. Curcumin turns that switch back down. Research published in Nutrition Research found that curcumin supplementation significantly improved endothelial function, producing results that match those seen with exercise training alone. Separate studies have shown reduced LDL oxidation and measurably improved arterial wall flexibility. The problem is absorption. Curcumin on its own is very poorly absorbed by the gut. The fix is simple. Always combine turmeric with black pepper. Black pepper
17:47 contains piperine, which increases curcumin absorption by up to 2,000%. Without it, most of the curcumin passes straight through you unused. How to use it? Have a teaspoon of turmeric and a generous pinch of black pepper. Add it to olive oil when cooking vegetables or fish. Stir it into a warm drink or morning smoothie. If you use a supplement, look for one containing piperine or a phospholipid bound form. Those are the only two delivery formats with solid absorption evidence behind them. If you want a therapeutic dose of curcumin, the kind that matches what was used in the endothelial function studies, you simply cannot get there from kitchen turmeric alone. The concentration is too low. This is one where I actually prefer a supplement for most of my patients.
18:35 But here's where it gets critical. Most curcumin supplements on Amazon are standard extraction with poor absorption. You are paying for expensive yellow urine. The two formulations I trust are piperine enhanced curcumin, where the piperine is guaranteed at a specific ratio, and phospholipid bound curcumin, which is absorbed through fat transport. Doctor's Best High Absorption Curcumin with BioPerine is what I recommend for most people because of its price to efficacy ratio and independent testing. Number eight is berries, blueberries, strawberries, and raspberries. And this is the food on this list with the most powerful direct evidence on blood pressure. Berries are loaded with a class of polyphenols called
19:20 anthocyanins. These are the pigments that make berries blue, red, and purple, and they are among the most potent defenders of the endothelium in the entire plant kingdom. Anthocyanins reduce the oxidation of LDL cholesterol, lower inflammatory markers including CRP, the primary blood marker of cardiovascular inflammation, improve nitric oxide signaling in the endothelium, and reduce arterial stiffness. Analysis of data from the Nurses' Health Study and the Health Professionals Follow-up Study found that people eating three or more servings of blueberries or strawberries per week had a 34% lower risk of heart attack compared to those eating them just once a month.
20:07 That is not a small effect from a food. >> How to use it. >> One cup of fresh or frozen berries a day. Frozen is equally effective to fresh and usually more affordable and more consistently ripe. Add them to oatmeal, blend into a smoothie, or eat plain as a snack. Avoid berry products with added sugar. Jams, sweetened juices, and berry flavored yogurts with more sugar than actual fruit cancel the benefit you are looking for. Frozen berries are my first recommendation because they are picked at peak ripeness and flash frozen within hours, meaning the anthocyanin content is often higher than fresh berries that spent a week on a truck. For travel, busy mornings, or anyone who wants a concentrated daily dose without the prep
20:53 work, a high-quality freeze-dried berry powder is an excellent option. The keyword is freeze-dried. Heat processing destroys anthocyanins. Navitas Organics makes one I have used and trust. Number nine is ground flaxseed. And this one delivers three completely separate cardiovascular benefits in a single tablespoon. First, ALA, the plant omega-3, which reduces inflammation and lowers triglycerides. Second, lignans, plant compounds that block the oxidation of LDL and have been shown in studies to reduce the progression of atherosclerosis directly. Third, soluble fiber, which binds to bile acids in your gut. Bile acids your liver manufactures from cholesterol and removes them from your body. When bile acids are removed,
21:40 your liver pulls LDL out of the bloodstream to make more. Your LDL drops, your cholesterol number improves without a single milligram of medication. A meta-analysis of multiple randomized controlled trials found that flaxseed supplementation significantly reduced both total and LDL cholesterol and lowered systolic blood pressure, with the strongest effects in people with the highest baseline risk. How to use it? Ground flaxseed only, not whole. Whole flaxseeds pass through your digestive system almost entirely intact. You lose nearly all the benefit. One to two tablespoons a day, stirred into yogurt, blended into a smoothie, or sprinkled over oatmeal. Buy pre-ground or grind whole seeds yourself in a coffee grinder and store the powder in
22:25 the fridge. The healthy fats oxidize quickly at room temperature. Here is the detail most people miss. The omega-3 fats in flaxseed oxidize rapidly once the seed is ground and exposed to air and light, meaning most pre-ground flaxseed sitting on a warm grocery store shelf for weeks is already partially rancid by the time you open it. What you want is cold-milled flaxseed, stored in an airtight bag, ideally refrigerated. Bob's Red Mill Organic Flaxseed Meal is the most widely available option that meets those criteria and is consistently fresh. The 10th food is dark chocolate. And yes, this belongs on a cardiologist's list. The rule is simple, 70% cacao or higher. Below that threshold, the sugar
23:11 content overtakes the cardiovascular benefit. >> [snorts] >> At 70% and above, you are getting a meaningful dose of cocoa flavanols. These flavanols activate an enzyme in your endothelial cells called eNOS, endothelial nitric oxide synthase. That enzyme is the factory that produces nitric oxide. Activating eNOS means your artery walls produce more of their own natural dilating signal. Blood flows more freely, blood pressure drops, the artery becomes less stiff. A large meta-analysis published in the British Medical Journal reviewed data from over 100,000 participants and found that the highest chocolate consumers had a 37% lower rate of cardiovascular disease and a 29% lower rate of stroke
23:59 compared to the lowest consumers. How to use it? One to two squares, about 20 to 30 g of 70% plus dark chocolate a day, eaten after a meal. Look for minimal ingredients. Cacao, cacao butter, a small amount of sugar. Avoid Dutch processed cacao. The alkalizing process destroys most of the flavanols. And this is not a replacement meal. It is a daily addition, not a license to eat the whole bar. Not all dark chocolate is equal, even at the same cacao percentage. Some brands use Dutch processed cacao, which destroys up to 90% of the flavanols you are eating it for. Others add artificial emulsifiers that counteract the endothelial benefit. The two brands I keep in my own home and
24:45 recommend to patients are Lindt Excellence 85%, widely available, consistently tested, and uses non-alkalized processing. And Hu Chocolate, which is my preference for anyone avoiding refined sugar entirely. I have linked both in the description. This is genuinely one of the most enjoyable parts of this protocol, so do not skip it. Let me tell you about a patient I will call David. 58 years old, former smoker, came to see me after a routine scan had revealed significant narrowing in two of his coronary arteries. His cardiologist, not me initially, had already started him on a high-dose statin and told him to consider a procedure within the year. He came to me frightened looking for a second opinion. His father had died of a
25:32 heart attack at 61. He could not stop measuring himself against that number. His inflammatory markers were sky high. His oxidized LDL was elevated. His arterial stiffness score was at the top quartile for his age group. We did not take him off his medication. We added to his plate. Fatty fish twice a week, two tablespoons of extra virgin olive oil every day, ground flaxseed in his morning smoothie with a cup of frozen berries and a handful of walnuts. Garlic in his evening cooking, crushed and rested before it touched heat. Half a cup of pomegranate juice with lunch. A square of dark chocolate after dinner. Turmeric with black pepper stirred into his vegetables. Within 3 months, his CRP, his main inflammatory marker, had
26:19 dropped by over 40%. His blood pressure had improved enough that his doctor was able to reduce one of his medications. At his 6-month scan, his arterial stiffness score had measurably improved. He did not need the procedure that year. Two years on, working alongside his own cardiologist, he has not needed one yet. His father's shadow is still there, but his arteries are telling a different story now. He did not eat less. He ate better. And his own body did the repair work it was always designed to do. Let me tie all 10 of these together, because this is why they work when medication alone cannot reverse the disease. Every food on this list is doing one of those three jobs we started
27:04 with. The fatty fish, walnuts, flaxseed, and extra virgin olive oil are quenching the inflammation that allows plaque to form in the first place. The garlic, berries, pomegranate, and turmeric are neutralizing the oxidized LDL that would otherwise embed in the arterial wall and harden into calcium. The leafy greens, dark chocolate, and olive oil are repairing and restoring the endothelium itself, helping it produce nitric oxide again, so your arteries can dilate, relax, and move blood the way they were designed to. Do that meal after meal, week after week, and the arterial wall stops being a war zone. The plaque stops growing, and in some cases, as we saw with Robert, and as the pomegranate
27:49 study showed us directly, it begins to go in reverse. That is not a miracle. That is biochemistry doing exactly what it was built to do when you give it the right tools. Before I give you tonight's plan, I need to draw one clear line. If you are already on cardiovascular medication, statins, blood thinners, blood pressure drugs, these foods can interact with those medications in meaningful ways. Some of the effects we covered today can amplify what your drugs are already doing. That is ultimately a good thing, but it means you need your doctor watching your numbers as you add these foods, so doses can be adjusted safely as your body improves. Do not stop any prescription on your own. Print this
28:35 list or bring it to your next appointment and work through it together. Here is what to do starting tonight. Five steps. Everything I mentioned here is linked in the description below. One. This week, put wild salmon or mackerel on the menu twice. If that is not realistic, start your Nordic Naturals omega-3 tonight, one capsule with dinner. Two, replace whatever oil you are currently cooking with with genuine extra virgin olive oil. The California Olive Ranch bottle I linked is at most grocery stores. Check the harvest date before you buy anything. Three, tonight crush two garlic cloves, let them sit for 10 minutes, and add them to whatever you are making for dinner. If you travel or your schedule makes this difficult, the Kyolic capsule
29:21 I linked in the description takes 10 seconds. Four, tomorrow morning blend 2 Tbsp of Bob's Red Mill ground flaxseed with a cup of frozen berries and a handful of walnuts. Four foods, one smoothie, five minutes. This one change alone will show up on your next LDL panel. Five, this week pick up POM Wonderful 100% pomegranate juice and drink half a cup daily alongside your largest meal. It is at most grocery stores. If you cannot find it, the extract supplement I linked in the description gives you the same punicalagins in a capsule. Stack these in over the next two weeks. You are not removing things you love. You are building a daily practice that your arteries will respond to, and your next blood panel will show you exactly how
30:08 much. Now, everything we did today targets the plaque already building inside your arteries. But, many of you have told me the same frustrating thing, that even when your cholesterol looks completely normal on a standard blood test, your doctor is still worried. There is a specific reason why your total cholesterol number tells you almost nothing about your actual cardiovascular risk. And there is one test most doctors never order that reveals exactly what is happening inside your artery walls right now, not an average, not a rough estimate, the actual inflammatory state of your vessels. I made a video explaining exactly what that test is, what your number means, and what to do when your result comes back. I will put it right here on the
30:53 screen. Go watch that one next.