Cardiovascular Health 2025

I meant from purchasing from a generic manufacturer or India if they were available there.

I wasn’t aware of this graph. How reliable is it, and what about in the most recent years? Just curious.
Manufacturing costs might also differ depending on the mAb.

Effect of Omega-3 Dosage on Cardiovascular Outcomes

An Updated Meta-Analysis and Meta-Regression of Interventional Trials

Open access paper: https://www.mayoclinicproceedings.org/article/S0025-6196(20)30985-X/fulltext

Gemini AI Summary

Objective: To resolve the historical inconsistency regarding the cardiovascular benefits of Omega-3 fatty acids (EPA and DHA) by conducting a meta-analysis that specifically evaluates the relationship between dosage and cardiovascular outcomes.

Methods: The authors performed a systematic review and meta-regression of **40 randomized controlled trials (RCTs)**involving a combined total of 135,267 participants. They analyzed the effects of EPA and DHA supplementation on myocardial infarction (MI), coronary heart disease (CHD) events, CVD events, and mortality.

Key Findings:

  • supplementation was associated with a statistically significant reduced risk of:
    • Fatal Myocardial Infarction: 35% reduction (RR 0.65)
    • Myocardial Infarction: 13% reduction (RR 0.87)
    • CHD Events: 10% reduction (RR 0.90)
    • CHD Mortality: 9% reduction (RR 0.91)
  • Dose-Response: The study identified a linear dose-response relationship. An additional 1000 mg/day of EPA/DHA was associated with an additional 9% reduction in the risk of myocardial infarction (P < .001) and a 5.8% reduction in total CVD events (P < .001).
  • Conclusion: Omega-3 supplementation is an effective preventive strategy for CVD, with benefits that increase with dosage. Previous conflicting studies likely failed to show benefit due to insufficient dosing.

Full analysis here: https://gemini.google.com/share/38109d243b8f

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I’m more impressed by this study:

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Midlife Mediterranean diet is associated with subclinical carotid atherosclerosis in late midlife

Conclusion

Findings underscore associations of midlife Mediterranean-style diet and lower presence of subclinical carotid atherosclerosis at Age 60 and confirm the significance of dietary interventions as potential means for cardiovascular disease prevention. The study enhances understanding of long-term dietary patterns and their link to subclinical atherosclerosis, supporting future interventions and further research.

Open Paper: https://academic.oup.com/eurjpc/article/32/16/1614/8084907?login=false

Key Findings

  • MDS & Plaque: High or midrange cumulative MDS across midlife was significantly associated with a reduced prevalence of carotid plaque at age 60 (OR ~0.72–0.74) compared to low adherence.
  • Sex-Specific Divergence:
    • Women: The association between higher MDS and reduced plaque was strongly driven by women (OR: 0.41).
    • Men: A significant association between MDS and CIMT (wall thickness) was observed only in men.
  • Null Result for HDS: The generic “Healthy Diet Score” showed no significant association with either plaque or CIMT, suggesting that specific components of the Mediterranean diet (e.g., lipid profile modulation, anti-inflammatory properties) are superior to general “healthy eating” guidelines for this specific vascular outcome.
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Nighttime exposure to light may raise cardiovascular risk by up to 50%

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I believe so. Whenever I’ve taken it, I have noticed zero side effects (besides dark stools) and it reliably increased my ferritin quickly. It can be taken with or without food and still be well absorbed.

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I think a good sleep mask is critical. I wear one every night and bring it on every trip I go on.

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Atherosclerotic cardiovascular disease (ASCVD) is the leading cause of morbidity and mortality worldwide, and LDL-cholesterol (LDL-C) plays a fundamental causal role. The classic INTERHEART study showed that dyslipidemia, characterized by an elevated apolipoprotein B/apolipoprotein AI ratio, was the risk factor with the highest population-attributable risk (PAR) for myocardial infarction (MI) (PAR 49.2% for the top four quintiles vs. the lowest quintile).

Despite strong evidence supporting the benefits of statins in reducing ASCVD, misinformation about this therapy continues to spread widely on social media, potentially increasing the risk of clinical events for the population. A Danish study showed that early statin discontinuation was more common after exposure to negative media coverage and was linked to a higher risk of MI and ASCVD death. Misinformation is a threat that needs to be fought because it causes delays in starting lipid-lowering treatment, denying many patients its benefits.

LDL-cholesterol lowering, the earlier the better: lessons from the real world

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AI and Genetics Reveal Early Risk Signals for Aortic Stenosis

Aortic stenosis is one of the most common and deadly forms of heart valve disease, affecting millions worldwide. The condition develops gradually as the aortic valve narrows, eventually limiting blood flow from the heart. Yet despite its prevalence, medicine still lacks drugs that can prevent or slow its progression. Once the disease becomes severe, patients are left with only one option: valve replacement through surgery or catheter-based procedures.

A new study from researchers at UC San Francisco and the Broad Institute of MIT and Harvard suggests that this reactive approach may not be inevitable. By combining artificial intelligence–based imaging analysis with large-scale human genetics, the team has uncovered early genetic signals that shape aortic valve function long before clinical disease develops. The findings, published in Nature Genetics, point toward a future in which aortic stenosis could be detected, and potentially intercepted, years earlier.

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