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Preventative Cardiology and the New Guidelines with Dr. Sanjay Bhojraj | Rational Wellness Podcast 467

Rational Wellness Podcast

Release Date: 06/23/2026

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New AHA/ACC Lipid Guidelines, Cholesterol Myths & Root-Cause Cardiology | Dr. Sanjay Bhojraj
 
Dr. Ben Weitz introduces the Rational Wellness Podcast and interviews integrative/interventional cardiologist Dr. Sanjay Bhojraj about the new AHA/ACC lipid guidelines and the evolving science of cholesterol, inflammation, and cardiovascular risk. Bhojraj explains why conventional cardiology’s LDL-centric, statin-heavy approach can miss key drivers of atherosclerosis, drawing from years treating repeat heart attacks. He reviews how plaques form through endothelial/glycocalyx injury, oxidized and small dense LDL, and immune activation leading to rupture and clotting. They discuss comprehensive lipid and cardiometabolic testing (ApoB, Lp(a), oxidized LDL, insulin, A1c, CRP, MPO, Lp-PLA2, homocysteine, uric acid, TMAO), insurance barriers, and a HEART framework (Hormones, Energy, Autonomic nervous system, Rest/Repair, Triggers). They cover statin benefits/risks, alternative drugs, diet approaches, supplements, and women’s heart disease risks.
00:00 Show Intro And Mission
01:01 Why Lipid Guidelines Matter
02:09 Meet Dr Sanjay Bhojraj
02:49 From Stents To Root Causes
07:01 Rethinking LDL And Statins
10:19 How Plaques And Heart Attacks Happen
19:01 Why Advanced Lipids Aren't Standard
21:37 Cash Pay Vs Insurance Labs
23:42 Key Cardiometabolic Markers
26:34 ApoB And Lp Little A
29:16 TMAO Dysbiosis Debate
31:51 Uric Acid Homocysteine And CRP
33:23 Inflammation And CRP
35:06 Beyond Basic Lipids
35:45 HDL Function Matters
38:04 HDL Treatment Limits
38:54 Sponsor Apollo Wearable
40:27 Iron Ferritin Hormones
43:04 HEART Risk Framework
43:46 MPO And Vascular Markers
46:12 Statins Benefits Risks
50:31 Personalized Lipid Therapy
58:36 Diet For Heart Health
01:01:23 Portfolio Diet Basics
01:02:09 Plant Forward Middle Ground
01:03:07 Saturated Fat And LDL
01:04:46 Vegan Keto Diet Culture
01:06:24 Niacin Pros And Limits
01:08:24 Berberine And Fish Oil
01:10:52 Omega Ratios Membranes
01:11:56 Red Yeast Garlic Glycocalyx
01:15:31 Sterols Bergamot CoQ10
01:17:45 Women Heart Disease Clues
01:20:48 Mammograms And Vascular Calcium
01:21:36 How To Work With Him
 
Dr. Sanjay Bhojraj is an Integrative Cardiologist who is also certified in Functional Medicine by the Institute of Functional Medicine. He practices in Mission Viejo, California and his website is SanjayBhojraj.us/home.
 
Dr. Ben Weitz is available for Functional Nutrition consultations specializing in Functional Gastrointestinal Disorders like IBS/SIBO and Reflux and also Cardiometabolic Risk Factors like elevated lipids, high blood sugar, and high blood pressure. Dr. Weitz has also successfully helped many patients with managing their weight and improving their athletic performance, as well as sports chiropractic work by calling his Santa Monica office 310-395-3111.