Spotting Hidden Heart Disease With Ultrasound, Artery Plaque Reversal From Natto, Why CIMT Beats Most Hospital Scans, & More With Joseph Ence
Ben Greenfield
Jul 31, 2025
Mindsip insights from this episode:
Reclaim niacin for heart health after patent expiration
Niacin, a powerful tool for heart health, was allegedly vilified by other pharmaceutical companies once it went off-patent and was no longer promoted by sales reps.
Consume raw natto to effectively shrink arterial plaque
Consuming natto, the actual fermented soybean food, was observed to be more effective at shrinking arterial plaque than taking nattokinase in pill form.
Reduce artery thickness by half with PCSK9 inhibitor Repatha
The PCSK9 inhibitor drug Repatha has been observed to cut artery wall thickness in half, an effect described as impressively significant.
Recognize arterial plaque risk in men on testosterone replacement therapy
Men on testosterone replacement therapy consistently show a 20% ring of plaque around their arteries, according to scans of this population.
Utilize CIMT ultrasound for non-invasive vascular health tracking
The Carotid Intima-Media Thickness (CIMT) ultrasound is the FDA's preferred non-invasive, radiation-free tool for tracking vascular health over time.
Reevaluate high cholesterol in context of low inflammation for longevity
People who live over 100 years old often have high cholesterol (over 200), suggesting high cholesterol isn't inherently bad if inflammation is low.
Utilize ozonated oil for oil pulling to enhance heart health
Using ozonated oil for oil pulling can dramatically improve the oral microbiome, which is directly linked to cardiovascular disease risk.
Recognize emotional stress from divorce through CIMT scans
Severe emotional stress, such as a divorce from years ago, can manifest as visible, older, non-developing plaque on a CIMT scan.
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