Blood Clots Could Be the Root Explanation for All Coronary heart Illness

Editor’s Observe: This text is a reprint. It was initially printed February 13, 2022.

On this interview, repeat visitor Dr. Malcolm Kendrick, a board-certified household doctor and writer of the e-book, “The Clot Thickens: The Enduring Thriller of Coronary heart Illness,” opinions the underlying mechanisms for coronary heart illness, which for the final century has been the main reason behind loss of life within the U.S.

Of all of the books he is written, that is my favourite, because it goes into nice element, providing you with the organic understanding of the method of atherosclerosis resulting in coronary heart assaults and strokes. He additionally has stable methods for decreasing your heart problems danger.

By the way, when you perceive the illness course of, then you may as well perceive how each COVID-19 and the COVID jab can contribute to coronary heart illness. When requested why he is taken such an curiosity in coronary heart illness, Kendrick replies:

“After I was coaching as a pupil in medication, Scotland had the very best price of coronary heart illness on this planet. Early on the reply for why was, ‘Oh, nicely, it is as a result of now we have such horrible weight-reduction plan, and we eat garbage meals like deep fried Mars bars.’

So, you eat an excessive amount of saturated fats, the saturated fats will get become ldl cholesterol in your bloodstream, after which it is absorbed into arteries and kinds narrowings and thickenings, which all sounds believable in case you do not give it some thought too exhausting.

However I additionally occur to go to France quite a bit, and what I seen about France was, they eat a variety of saturated fats. They eat extra, in reality, than anybody else in Europe, and definitely greater than Scotland. So, [this saturated fat] speculation definitely did not work for the French. They’ve the very best saturated fats consumption in Europe and lowest price of coronary heart illness, and this has been the case for many years.

In the event you took all the danger components for France and Scotland [such as smoking, high blood pressure and diabetes], then the French had barely [higher risk], based on typical pondering. However, in reality, that they had one-fifth [the rate among age-matched men].

So, I believed, that is attention-grabbing. It would not make a lot sense based on what we’re instructed. Then whereas I used to be in medical college, a tutor in cardiology mentioned … LDL can’t cross the endothelium. On the time, I did not know what LDL was, nor did I do know what the endothelium was, however it sounded necessary.

She had been coronary heart illness as a distinct course of for many years … So, I feel that is actually the place I acquired began. When you begin questioning what the issue is, you find yourself questioning increasingly more and also you begin pondering, gosh, that is simply nonsense, is not it? This complete speculation is simply nonsense. So, I began choosing it aside.”

The Thrombogenic Speculation

“The Clot Thickens” is Kendrick’s effort to elucidate another speculation for what really causes coronary heart illness. If it isn’t saturated fats and ldl cholesterol, what’s it? In 1852, a Viennese researcher, Karl von Rokitansky, developed what he referred to as the encrustation speculation of coronary heart illness.

In the present day, this speculation has been renamed the thrombogenic speculation. “Thrombo” stands for thrombosis, i.e., blood clots, and “genesis” means the reason for, or the beginning of. So, the thrombogenic speculation is that blood clots are the essential pathology that causes all coronary heart illness.

In a nutshell, when a blood clot kinds in your artery wall, which might occur for quite a few causes, it’ll usually be lined over and dissolved. An issue arises, nonetheless, if the blood clot is just not totally eradicated and one other blood clot kinds in the identical “susceptible” space. This then turns into what’s conventionally known as atherosclerotic plaque.

“The atherosclerotic plaque is principally a buildup of blood clot, restore, blood clot, restore, blood clot, restore,” Kendrick explains. “If the blood clotting course of is quicker than the restore course of, you could have a plaque that step by step grows and finally thickens the artery wall till it narrows sufficiently that the ultimate blood clot, on prime of the present plaque, is the factor that may trigger a coronary heart assault or stroke …

In the event you lower by means of the plaque and take a look at it, it virtually appears to be like like tree rings. You may see there’s been a clot, restore, clot, restore, clot, restore, clock, restore through the years.

It is extensively accepted {that a} blood clot forming on an present plaque will trigger the plaque to develop in dimension. You could find 10,000 papers saying that that is the case. What the mainstream will not settle for is {that a} blood clot on a wholesome artery wall can provoke the entire course of.

So, to an extent, all I am saying to individuals is, nicely, we all know blood clots trigger the ultimate occasion. We all know blood clots trigger plaques to develop. Why will not you settle for that blood clots are the factor that begins it within the first place? As a result of then now we have one course of all over, and it is sensible, as a result of it matches with what you may see.”

As famous by Kendrick, the traditional view is that low-density lipoprotein or LDL will get into the artery wall the place it initiates plaque formation. It then, inexplicably, stops initiating plaque, and the plaque continues to develop by means of the addition of repeated clots.

Nevertheless, Kendrick says, when you begin drilling down into the ldl cholesterol, aka LDL speculation, the entire thing begins to crumble. LDL merely can’t clarify the illness development. But regardless of the various holes within the concept, the concept that LDL causes coronary heart illness is touted as an absolute, incontrovertible fact.

What is the Mechanism?

In an effort to justify a speculation, it’s worthwhile to have a mechanism of motion. When you perceive the mechanism of the particular illness course of, then you may put the puzzle items collectively. Kendrick begins his rationalization:

“Your blood vessels are lined with endothelial cells, a bit like tiles on a wall. Endothelial cells are additionally lined themselves in a factor referred to as glycocalyx. In the event you attempt to choose up a fish, it’s going to slip by means of your fingers; it is very slippery. The rationale it is slippery is as a result of it is lined in glycocalyx and the glycocalyx is extremely slippery. It is nature’s Teflon.

So principally, in our case, the glycocalyx [is inside] our blood vessels, to permit the blood to journey by means of with out it sticking, with out harm occurring. So, you could have this sort of damage-repellent layer on prime of your endothelial cells.

Now, if that layer is broken, after which the endothelial cell itself beneath is broken, then the physique will say, ‘Oh, we have got harm to a blood vessel, we should have a blood clot there as a result of we might bleed out.’ So, a blood clot kinds on the world of injury, and instantly stops [the bleeding].”

The blood clot would not simply carry on rising and rising. If it did, you’d die anytime you had a blood clot. As an alternative, when a clot kinds, different processes step in to forestall it getting too large, which is why each blood clot would not trigger a stroke or coronary heart assault. As soon as the clot has stabilized, and has been shaved down, the world is roofed over by endothelial progenitor cells, made within the bone marrow, that float round in your blood stream.

When a progenitor cell finds an space that has been broken, it attaches itself to that space, together with others, forming a brand new endothelial layer. The remaining blood clot is now mendacity “inside” the artery wall itself. So, principally, it is the restore course of that may result in plaque buildup throughout the artery wall. In time, if harm outstrips restore, this will slender the artery and scale back blood circulate.

What Damages Endothelial Cells?

The query is, what can harm the endothelium within the first place? Right here, Kendrick makes use of the SARS-CoV-2 mechanism for instance:

“The COVID virus enters endothelial cells by means of the ACE2 receptor. It prefers endothelial cells as a result of they have ACE2 receptors on them. It will get into the endothelial cell and begins replicating, then bursts out, damaging the cell. Bingo, you’ve got acquired an space of injury.

In fact, added to this, when cells have viruses inside them, they ship out misery alerts to the immune system saying, ‘I have been contaminated, come and kill me,’ and so the immune system begins to have a go on the endothelial cells. For this reason you may get an issue, as a result of the endothelial cells are being broken and stripped off.

Blood clotting happens on the factors of injury and hey, presto, you are having clotting, you are having strokes, you are having coronary heart assaults, which is the factor that folks at first could not perceive [about COVID-19]. But it is very clear that what’s occurring is you’ve got acquired harm to the endothelial cells.

Clearly, you and I each know that in case you get a [COVID jab], the cells are triggered to supply the spike protein, and these cells are sending out misery messages saying, ‘I am contaminated.’ It’s important to be very cautious if you wish to stick one thing into cells that then says to the immune system, ‘Please come and destroy me,’ as a result of that is what the immune system goes to do.

However shifting on from that, what different factor could cause endothelial harm? The reply is issues like smoking. Smoke particles get out of your lungs, they go into your blood vessels and so they trigger harm … You smoke one cigarette and an entire bunch of microparticles seem in your bloodstream, which implies endothelial cells are dying.

Fortunately as endothelial cells die, one other message is distributed to the bone marrow saying, we want extra endothelial cells and it stimulates endothelial progenitor cell manufacturing. These endothelial progenitor cells rush round protecting over the areas of injury.

Some people who smoke have sufficient restore occurring and once you’re youthful, it is okay. As you become older and your restore methods start to fail a bit, cigarette smoking turns into increasingly more of an issue.”

Different issues that may trigger endothelial harm embody:

Repairing the Glycocalyx

As defined by Kendrick, the glycocalyx layer resembles a garden, with slippery filaments that stick up. Inside this glycocalyx layer you could have nitric oxide synthase (NOS), which produces nitric oxide (NO), and you’ve got NO itself, in addition to quite a few different anticoagulant proteins. The glycocalyx is definitely a potent anticoagulant layer, so it stops blood clots forming. If glycocalyx is broken, your danger of blood clotting will increase.

“It is a very difficult layer,” Kendrick says. “It is like a jungle filled with issues that say, ‘Do not follow this, steer clear of this.'” Inside it, you even have albumin, protein complicated produced by the liver. Albumin comprises the proteins that assist preserve and restore the glycocalyx. A truth that the majority docs are unaware of is that, when you have a low albumin stage, you are considerably extra prone to die of coronary heart illness.

The excellent news is that whereas the glycocalyx layer may be quickly destroyed, it can be quickly repaired. (Experiments have proven that in an space the place the glycocalyx has been utterly stripped off, it may be utterly repaired in a single second.) Dietary supplements like chondroitin sulfate and methylsulfonylmethane (MSM) may be useful on this regard.

“In the event you try to clarify that by means of the LDL mechanism, it simply would not work,” Kendrick says. “They’ve found that in case you give chondroitin sulfate as a complement — which usually is for arthritis and stuff like that — it reduces the danger of coronary heart illness fairly significantly. How do you clarify that? Nicely, you may clarify that since you’re defending your glycocalyx.

These are the type of issues that make no sense in case you like wanting on the typical concepts of coronary heart illness, however are instantly and simply defined in case you say, ‘Now we have to maintain our glycocalyx wholesome and now we have to maintain our endothelial cells beneath them wholesome.’

In any other case they are going to be broken and stripped off, after which we’ll get a blood clot, and if we hold getting blood clots at that time, we’ll find yourself with a plaque and finally one of many blood clots on that plaque will kill you from a coronary heart assault or a stroke.”

Blood Circulation Restriction Coaching

A life-style technique that may assist restore endothelial harm is blood circulate restriction (BFR) coaching. In response to BFR, your physique produces vascular endothelial progress issue (VEGF), which acts as “fertilizer” for the endothelium. You may be taught the ins and outs of BFR in my free BFR report. VEGF additionally induces the synthesis of nitric oxide (NO), a potent vasodilator, and it stimulates endothelial progenitor cells.

“NO protects the endothelium. It’s anticoagulant — essentially the most potent anticoagulant now we have within the physique. It is actually the magic molecule for cardiovascular well being,” Kendrick says.

“At one time NO was generally known as Endothelial Derived Leisure Issue (EDRF) NO was one thing nobody believed might probably exist within the human physique. NO is definitely a free radical. Everybody says free radicals are terribly damaging and unhealthy.

To that I reply, ‘Nicely, it’s possible you’ll want to know that the chemical that’s the single most necessary protecting chemical within the physique for the cardiovascular system is an extremely free radical referred to as nitric oxide.'”

Some anticancer medication are designed to dam VEGF, because the tumor wants angiogenesis — which is the creation of recent blood vessels which are required to supply adequate “vitamins” With out these new blood vessels, the tumor dies off. Sadly, in case you block VEGF, you additionally block NO, which then raises your danger for coronary heart illness.

“These medication had been virtually faraway from the market,” Kendrick says, “as a result of regardless of their anticancer exercise, they had been procardiovascular illness to fairly a scary diploma.

[That’s why], if you’re given bevacizumab or Avastin as an anticancer drug, they now offer you angiotensin changing enzyme inhibitors (ACE inhibitors), that are blood strain decreasing tablets, and ACE inhibitors have a selected influence on bradykinin, which will increase NO synthesis.”

Methods to Decrease Your Thrombotic Threat

In his e-book, “The Clot Thickens: The Enduring Thriller of Coronary heart Illness,” Kendrick opinions many alternative methods that may decrease your illness danger. This is a short-list of examples lined in far larger depth within the e-book, in addition to a few of my very own suggestions that I convey up within the interview: