The Science of Longevity: Plaque Heart Scans, Cancer Screening, Glutathione & More with Dr. Julianna Lindsey [EP#1018]
This Week’s Episode Special Guest: Dr. Juliana Lindsay
Summary:
In this episode, Kimberly and Dr. Julianna Lindsey explore the interconnectedness of emotional and physical health, emphasizing the importance of stability in relationships and the impact of lifestyle choices on overall well-being. They discuss cardiovascular health, the significance of dietary choices, the effects of alcohol, and the role of supplements like glutathione and NAD in promoting longevity. The dialogue highlights the need for self-awareness and critical thinking in navigating health trends and misinformation.
About Dr, Juliana Lindsay
Dr. Julianna Lindsey is Board Certified in Internal Medicine with additional training and certifications in anti-aging and regenerative medicine, functional and integrative medicine, lifestyle medicine, bioidentical hormone optimization, and peptide therapy. In addition to her clinical work, she has spent the past fifteen years serving executive leadership roles at Fortune-level companies. During this time, she observed the dysfunction of our health care system on a large scale, an experience that contributed to her motivation in establishing her Radiant Longevity clinic in Southlake, Texas, where she dedicates her life to serving people through personalized care and attention. She is the author of Radiant Longevity: A Physician’s Protocol for Living Your Best Life.
Guest Resources:
Website: www.radiantlongevity.com
Book: Radiant Longevity: A Physician’s Protocol for Living Your Best Life.
Episode Sponsors:
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Episode Chapters
00:00 The Importance of Connection and Stability
05:02 Understanding Cardiovascular Health and Screening
10:05 Dietary Choices and Their Impact on Health
14:54 The Role of Alcohol in Health and Wellness
19:41 Exploring Supplements: Glutathione and NAD
24:57 Navigating Health Trends and Misinformation
SOLLUNA PRODUCT LINKS
- Glowing Greens Powder™
- Feel Good SBO Probiotics
- Feel Good Detoxy
- Feel Good Digestive Enzymes
- Feel Good Starter Kit
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KIMBERLY’S BOOKS
- Chilla Gorilla & Lanky Lemur Journey to the Heart
- The Beauty Detox Solution
- Beauty Detox Foods
- Beauty Detox Power
- Radical Beauty
- Recipes For Your Perfectly Imperfect Life
- You Are More Than You Think You Are
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Transcript:
Solluna By Kimberly Snyder (00:01.23)
Hi, Juliana. I was going to say Dr. Lindsay, but I love in your book how you say to call you Juliana. Thank you so much for being here with us today. Calling in from Dallas, I believe.
Julianna Lindsey (00:13.333)
Yes, Dallas-Fort Worth Metroplex.
Solluna By Kimberly Snyder (00:15.502)
Love technology. You are asking me where I’m calling in from, which is currently California. And I do travel a lot between Hawaii and here. yeah, it’s just so great that we can have these conversations and feel that connection no matter where we are. Also books, you know, we’re both authors that we can really connect with people on the subject matter beyond your realm of
patients in Dallas, you can share your ideas in this form, which is really exciting, I think.
Julianna Lindsey (00:51.347)
It is wonderful and connection is so important.
Solluna By Kimberly Snyder (00:54.774)
You know, I really liked how you talked about such a variety of subject matters in your new book, Radiant Longevity, a Physician’s Protocol for Living Your Best Life. And I wrote a couple notes of some of the things that really stood out to me. And talking about connection, there’s a whole section in the book where you talk about a stable home life. And I really love that because we hear a lot about
social connections and community. And of course, that was really highlighted a lot, especially since COVID, when there was so much isolation. But sometimes I don’t think we talk enough about stability. And that’s true if someone’s married, if they have kids, or a lot of our listeners may be single. But this idea of stability and having less drama in our lives and more nervous system regulation. Can you talk
a little bit about why you called that out is so important in your book.
Julianna Lindsey (01:54.239)
not sure that there’s anything more important to our quality of life than having stability in our relationships. And you don’t have to have 50 friends. If you have one person that you know you can count on when the chips are down. And for me, I’m very fortunate to have a few. And my main person is my husband, but also my children. We have a…
Solluna By Kimberly Snyder (02:03.041)
and
Julianna Lindsey (02:23.115)
drama free life. I just don’t have time or space for drama in my life. I don’t see any benefit to it and I try to avoid it like the plague. don’t and it is a plague and I hate it to see people online get wrapped up and trying to get reactions from people and you can just you can opt to just stay out of all that.
Solluna By Kimberly Snyder (02:34.424)
Yeah.
Solluna By Kimberly Snyder (02:47.394)
Right.
Julianna Lindsey (02:52.277)
But you do need people in your life that you can absolutely count on. And I want to be that person for other people as well.
Solluna By Kimberly Snyder (03:01.708)
Yeah. Well, I think it’s important to talk about that because when we talk about stress and we talk about cortisol levels and, I mean, there’s so many things in daily life that we can do. Like you said, we can create a lifestyle. Maybe some of us grew up and you talk about trauma in the book as well, but maybe we grew up in a home environment that did have a lot of drama or maybe we can start to be aware in our life now. I know for me, Juliana, I
can get really triggered by news. Like don’t really, I don’t watch the news, you know, I’ll read selectively, but also what’s coming into our feed. Like you said, there’s a lot of negativity online. So there’s a lot of things that we can do to create that stability. If we just start to be aware relationships, you know, what’s coming in, like our total environment. And that’s really important. You say stability, I also say more calmness, more peace. And that has an obvious, you know, effect.
on our physical health, our mental well-being, emotional well-being, spiritual well-being, and so on.
Julianna Lindsey (04:05.173)
And of course we can’t separate any of that. We can’t separate our emotional wellbeing from our physical wellbeing. It’s all so integrated. And we have be very intentional about the environment that we create around us and the events that we allow to go on in our atmosphere.
Solluna By Kimberly Snyder (04:10.584)
Yeah, it’s That’s right.
Solluna By Kimberly Snyder (04:23.842)
That’s right. And so if someone is listening to this and they say, wow, you know, there are, there is a lot of drama in my friendships or in my relationship. It’s something to be aware of and something that, you know, we have to look within ourselves and there’s so many different tools and, you know, resources available that it doesn’t have to stay like that. We can, you know, move in transition and it’s an important marker of health and wellbeing stability.
Julianna Lindsey (04:51.059)
Indeed, and just the ability to an open conversation, an open, authentic conversation with people is an art.
Sometimes crucial conversations need to occur, right? People, relationships are not problem free. And if you hit a bump in the road, it doesn’t have to mean there’s drama. know, people should be able to have open, honest, authentic relationships with one another without there being drama involved and just, you know, state the problem and figure out together collaboratively how you want to solve the problem. If it’s a relationship worth having.
Solluna By Kimberly Snyder (05:17.006)
Right.
Solluna By Kimberly Snyder (05:34.123)
Yes.
Julianna Lindsey (05:34.281)
that it’s worth it’s worth an open conversation.
Solluna By Kimberly Snyder (05:38.53)
Yeah, it’s true and honesty and coming from the heart.
Julianna Lindsey (05:42.963)
Yes. And I think you can feel your intention, right? If your intentions are good, if you want the best for that other person, if you want the best for your relationship, people know that.
Solluna By Kimberly Snyder (05:56.694)
Yes, that’s right. Well, and then only a few pages prior, and this is another note I had in completely switching gears, which again, I really love a holistic approach. And even a few pages earlier, you were talking about coronary artery calcium scan, the CAES, which my husband had done. And so again, there’s relationships, there’s the things that we can’t see with our physical eyes. And then, okay, there’s plaque.
Julianna Lindsey (06:13.493)
Yes.
Solluna By Kimberly Snyder (06:23.97)
There’s hardened, there’s calcified plaque. There’s the statistics that we know about cardiovascular incidences. We know that a lot of women and men, all different types of people have heart disease. Now, can you talk a little bit about this scan and this test? Because I remember talking to my husband about this a few months ago and it seems somewhat…
recent, it seems that not everybody knows about this. It feels like it could prevent a lot of cardiovascular incidences. I’m not sure if it’s always covered by insurance, but can you just give us more information about this test?
Julianna Lindsey (07:02.261)
love that you bring up that topic because cardiovascular disease is the number one killer of men and it is the number one killer of women. We hear lot about breast cancer and certainly we want to be aware of our breast cancer risk and keep up on those screenings and breast health but the statistically most likely event to lead to death is cardiovascular disease in women.
Solluna By Kimberly Snyder (07:10.189)
Wow.
Solluna By Kimberly Snyder (07:30.189)
Mmm.
Julianna Lindsey (07:31.681)
And it has historically been underdiagnosed and undertreated in a preventative fashion in women. So women are less likely to get put on cholesterol-lowering medications. They’re less likely to get put on blood pressure-lowering medications. The moment a man’s testosterone drops below 800, somebody wants to start giving him pellets.
Solluna By Kimberly Snyder (07:57.795)
Right.
Julianna Lindsey (07:58.431)
Women are allowed to go through periods of estrogen deprivation in perimenopause and menopause, which is so harmful to our cardiovascular health. And we need to raise awareness that that period of estrogen deprivation is when our disease risk of cardiovascular disease rises to equal that of men’s. So I very much try to avoid, want to avoid, and usually can periods of estrogen deprivation from my patients.
Solluna By Kimberly Snyder (08:06.382)
Mmm.
Solluna By Kimberly Snyder (08:27.896)
So you mean with hormone replacement.
Julianna Lindsey (08:28.577)
Yes, identical hormone optimization.
Solluna By Kimberly Snyder (08:32.94)
And then when would you recommend someone start taking this? Is it CACS you would say test? Yes.
Julianna Lindsey (08:39.669)
The coronary artery calcium score. So I don’t use the coronary artery calcium scoring anymore. So I use a CT angiogram. We specifically opt for the, it’s a branded name, the CLEERLY scan, C-L-E-E-R-L-Y. The CLEERLY scan is a CT angiogram. It is a CT scan, so there is some ionizing radiation involved, but it’s a low amount.
Solluna By Kimberly Snyder (08:48.494)
Julianna Lindsey (09:09.511)
The that scan is superior to the coronary artery calcium score because they use AI algorithms and special cameras to detect both soft plaque and calcified plaque. 30 % of heart attacks occur in people with a calcium score of zero. The calcium score is paid for by insurance. The the CLEARLY scan is typically not paid for by insurance so that
that is a barrier, it is absolutely the better test because soft plaque is kind of what gets us in trouble. That’s where the heart attacks happen, but it’s also, we see that as reversible, right? I try to see the glass is always half full. So I look at soft plaque as being a reversible condition and then with lipid lowering and other lifestyle measures, then we can help mitigate and lower people’s risk of
developing heart disease.
Solluna By Kimberly Snyder (10:11.278)
Well, thank you for clarifying that, Juliana. So around when would we consider getting this test and how often should you get this sort of test? And of course, you know, anyone listening to this or a loved one that, hmm, you you might want to inform about this because again, it doesn’t seem like a lot of the general masses know that these are available.
Julianna Lindsey (10:35.673)
That’s a great question. When to start screening? So we base our screening age on the risk factor of the patient in front of us. So if someone has a high LP little a, that’s a blood marker that you inherit from one of your parents. If you have a high LP little a, which everyone should get checked,
Solluna By Kimberly Snyder (10:39.297)
Yes.
Julianna Lindsey (11:02.579)
then we absolutely begin screening much sooner than in someone who doesn’t have this high LP little a. LP little a is an independent risk factor for the development of cardiovascular disease. So if you have high LP little a, you are far more likely to have plaque in your arteries, making you more likely to have a heart attack or stroke or peripheral cardiovascular disease. So in the event that, let’s say a woman has
Solluna By Kimberly Snyder (11:09.728)
Okay.
Solluna By Kimberly Snyder (11:25.07)
Mm.
Julianna Lindsey (11:31.883)
High LP little a I want to get her screened before the age of 50 I also want to get a man screen before the age of 50 with high LP little a if someone has had a history of prolonged like a familial high cholesterol condition then then we may start in early 40s also, so and Of course the family history is important in making these decisions as well, but
Solluna By Kimberly Snyder (11:53.165)
Mmm.
Julianna Lindsey (12:01.087)
You can’t rely solely on family history. We like to add all these variables together and really risk stratify people. And it’s better to get screened earlier than later. We use that screening test to help us determine how aggressive we need to be in lipid lowering. you commonly hear stories from ladies that
Solluna By Kimberly Snyder (12:04.16)
Right.
Solluna By Kimberly Snyder (12:23.574)
Right.
Julianna Lindsey (12:30.709)
people didn’t want to put them on lipid lowering drugs because this, that, or the other. It’s usually there. Somebody said their cholesterol wasn’t that high because they’re premenopausal or, know, women can, women form plaque prior to menopause under the right conditions. There are also women and men who have very high cholesterol levels. They are very rare who
Solluna By Kimberly Snyder (12:50.606)
Mm.
Julianna Lindsey (13:00.309)
we find don’t have any plaque on their clearly scan. Now, if they don’t have plaque on their clearly scan, then we can often avoid pharmacologic therapy to lower their cholesterol. But those people are rare individuals. I would say maybe one in 500 people with high cholesterol will not be forming plaque. So they are very much the exception.
not the rule. And I’m afraid that lot of physicians without having these test results assume that that is a way more common condition than it actually is. People need to get screened and risk stratified. If you’re not forming plaque, fantastic. But if you’re already forming plaque in your arteries, we can see the arteries around the heart with the CLEARLY scan. We cannot see the arteries in the brain.
We don’t have good visual vision capability, but we absolutely use those heart arteries and the condition of those arteries as a surrogate marker for what’s going on in your brain. Our brain needs blood flow. Cognitive decline is an epidemic and it is a rising epidemic. We are very cognizant about our patients’ cognitive health. Just as much.
Solluna By Kimberly Snyder (14:00.0)
it.
Julianna Lindsey (14:27.321)
as we are about their cardiovascular health because they are highly intertwined.
Solluna By Kimberly Snyder (14:33.228)
Yes, thank you for explaining that. And then in another section, interrelated section of the book, where you talk about diet, and I love how you lead off with talking, you know, very similar dietary philosophy that we have here at Salona and Beauty Detox, lots of green vegetables, lots of nuts. And also a good friend of mine who’s been on this podcast many times, Dan Buettner, who discovered the blue zones, which you referenced in your book. you know, just having this
Julianna Lindsey (14:57.846)
Yes.
Solluna By Kimberly Snyder (15:00.046)
whole food based diet and active lifestyle and so on. But I bring this up on the heels of us talking about the calcium scans because it gets really confusing for people, Juliana, as you know, where, you know, for a while it was sort of the general consensus about avoiding eating a lot of red meat. And then there’s sort of different dialogues being put out, especially in social media about, know, cholesterol isn’t really bad. And then there’s the rise of certain diets like the carnivore diet.
lots of meat. And then I’ve heard people have even written into me saying, you know, I tried some of these diets and my plaque did go up, even though a lot of people that are pushing these very high meat diets are saying, well, no, it’s not actually going to raise your cholesterol. It just gets very confusing for people when there’s so many people talking about different ways of eating, you know.
I don’t know, it sort of blows my mind. And then there’s these, again, these out of just certain studies, which can be extrapolated, they’re studying human populations, like the blue zones and seeing how a lot of these cultures are getting enough protein, but they’re also eating a large 90 % and over plant based. So can you speak a little bit in your work as a physician and your monitoring all these different patients and seeing what’s going on with plaque and just that relationship with eating a high red meat?
animal protein diet in relation to what we’re talking about here.
Julianna Lindsey (16:32.595)
I can tell you with certainty that most people who are eating a high fat diet are going to have higher cholesterol levels. Now people’s bodies respond differently.
Solluna By Kimberly Snyder (16:42.978)
Thank you. Yeah. Yes. But it sounds obvious and I’m sorry to bring it up this way, but it’s not when you’re listening to all these different dialogues, doctor. It sort of gets sort of bananas out there.
Julianna Lindsey (16:59.285)
Well, I would advise people to, if they hear something on social media, take that to your actual physician with hopefully with whom you have a relationship and then ask him or her questions about that. And please let it, first of all, let it pass the filter of common sense. Has, has humankind evolved eating solely meat? It’s
It doesn’t pass the common sense filter to me.
Solluna By Kimberly Snyder (17:31.098)
It doesn’t pass the common sense, but unfortunately, doctor, there are doctors like these carnivore MDs out there that are doctors that are also telling people some of these ways of eating, which I think can potentially cause a lot of harm and can certainly confuse a lot of people. So we’re moving away from fiber and anti-inflammatory antioxidant rich foods. And now there just becomes this huge focus on protein, protein, protein more and more.
animal foods.
Julianna Lindsey (18:02.645)
Well, it’s the wrong direction. And if you look at the human microbiome, and we are in our infancy in knowing the power of our microbiome, but we do know that 70 % of our immune system lies in the lining of our gut. Those microorganisms that are in the lining of our gut control so much of what happens in our body.
Solluna By Kimberly Snyder (18:13.248)
Yes.
Julianna Lindsey (18:26.651)
and those to have a healthy microbiome, you need those soluble and insoluble fibers that you can only get from non-meat sources.
Solluna By Kimberly Snyder (18:38.71)
Yeah. And you were talking about, you know, opening up pathways to the brain, to the heart. There’s a clogging effect. Like you said, common sense that happens when we’re eating really dense, fatty, just, I can’t say it in words, but dense foods. Now, and then when we’re focusing on eating so much of those foods and filling our plate with that, then obviously there’s going to be less room for the fiber rich.
Julianna Lindsey (18:45.301)
Yes.
Julianna Lindsey (18:56.682)
Yes.
Solluna By Kimberly Snyder (19:06.346)
foods, it just becomes less of a focus, unfortunately, in a lot of these diets.
Julianna Lindsey (19:12.255)
And if people have a, if they have doubt about that, I would just challenge them to go get your lipid profile checked regularly. Like we check our patients lipid profiles every 90 days because people will go on, you know, they’ll go off on tangents and I can, I can generally tell when they’ve gone off on a tangent and, and they’re, they’re eating it just like red meat every single day. I’m not against red meat. I eat meat myself.
Solluna By Kimberly Snyder (19:23.842)
Wow.
Julianna Lindsey (19:42.081)
I also eat a lot of fruits and vegetables. So balance in all things.
Solluna By Kimberly Snyder (19:47.444)
Yes. Yeah, I can say, I can share and I’ve talked about a little bit on here that actually was a personal experience with my husband. He eats meat, me and the kids are plant based, but he went on a full carnivore diet. And was a day where he was eating his chopped raw liver. And my older son looked at it he said, mama, would you eat papa’s food for a million dollars?
And I said, no, he’s like two million. We were trying to come up with a number, but he does get regular blood work and he saw the actual, you know, the impact in his blood work. And I’m happy to say he’s gone back to eating a lot of fiber again. because yeah, to your point when you could measure and you can actually see that difference, instead of just theoretically or just because you want to look the way someone looks on social media and you think it’s because you need more and more and more.
of protein and to build yourself up.
Julianna Lindsey (20:47.553)
Also, we have no idea what those people on social media who look like they look, what they’re doing. You know, we don’t really know what they’re eating. We don’t know what kind of hormones they’re putting in their body. They could be doing any number of unhealthy things. And I can tell you that I see a lot of 50-year-old men walking around, you know, all puffed up, who look horribly unhealthy. I know that they…
Solluna By Kimberly Snyder (21:02.091)
Right.
Julianna Lindsey (21:16.971)
They probably perceive themselves as being healthy, but you can spot somebody who’s on too much testosterone and growth hormone, and it is a bad situation for their health.
Solluna By Kimberly Snyder (21:28.106)
Right. I imagine long-term, especially taking growth hormone.
Julianna Lindsey (21:32.255)
Well, short and long term. I mean, those people tend to die early. Think about like Rich Piana, for instance. He was a internet craze. And then there’s like the liver king. know, all these people doing these crazy things. And it turns out, I guess the liver king wasn’t actually doing what he said he was doing. And then of course, Rich Piana died when he was relatively young. So.
Solluna By Kimberly Snyder (21:44.27)
Right.
Julianna Lindsey (21:58.933)
I don’t think we need to be taking advice from people like that. And you have to always question people’s ulterior motives. What kind of secondary gain are they on social media to get? So the way to get likes and reactions and conversations on social media is to be extreme. The way to live a balanced, healthy life is to avoid extremes.
Solluna By Kimberly Snyder (22:24.878)
Right, centered. And you mentioned that in your protocols overall for eating is to eat less, right? Because we are able to digest more, our bodies utilize more nutrients when we’re not constantly overloading. And I know, know, Dr. you as well as many physicians, there’s a section where you did talk about semi-glutides and…
Julianna Lindsey (22:26.815)
Yes.
Julianna Lindsey (22:34.582)
Yes.
Solluna By Kimberly Snyder (22:51.246)
and know, Zempik and you know, the crazes out there. And on one hand, people are eating less and they are dropping weight. I wonder, and I don’t know the answer and I haven’t taken, you know, I’m not a physician that’s taking a super deep dive on this, but I wonder doctor about long-term though. And
people haven’t learned to eat healthy when they’re taking these drugs, or maybe they’re, you when they get off and then they still have to learn to eat healthy. What do you think about these other aspects? And I know primarily, you know, you’re seeing numbers improve, you’re seeing people eat a lot less. We know obesity is a killer, but long-term effects and then potentia
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