Show notes
Mark Bell talks with cardiologist Dr. Michael Twyman to break down Mark’s actual heart scans and what they reveal about his cardiovascular health. Dr. Twyman walks through Mark’s plaque burden, the difference between soft and calcified plaque, why someone can feel perfectly healthy while cardiovascular disease develops in the background, and what can actually be done once plaque is found.They cover CAC scores vs. CT coronary angiograms, LDL, ApoB, Lp(a), blood pressure, inflammation, saturated fat and ketogenic diets, anabolic steroids, exercise, sleep, stress, genetics, nattokinase, supplements, lipid-lowering medications, and the markers Dr. Twyman believes people should routinely monitor.Mark also reflects on years of extreme powerlifting, performance-enhancing drug use, high blood pressure, and dietary experimentation—and why being strong, lean, active, or metabolically healthy doesn’t necessarily mean your arteries are free of plaque.Follow Dr. Michael Twyman: DrTwyman.com

