In this episode of The Feldman Protocol, Dave asks a blunt question: is modern medicine structurally aligned against prevention? Guest **Emily Kaplan**, investigative science journalist and co-founder of the Broken Science Initiative, makes the case that incentives, not evidence, increasingly shape medical practice. They discuss conflicts of interest in research, the reproducibility crisis, metabolic health and lifestyle medicine, GLP-1 drugs, nutrition education gaps, and why outcomes often matter less than headlines.🔥 This episode is sponsored by us -- Own Your Labs `http://ownyourlabs.com` -- private blood testing services.🩸Over 300 blood tests💰Extremely affordable❤️ We love our customers(Yes, we are literally funding the entire podcast from our own company -- so if you want to show your support, keep getting your private blood testing through our service. Thank you! 🙏)🔗 CONNECT WITH DAVE FELDMAN:Main Channel: `https://youtube.com/@realDaveFeldman`X/Twitter: `https://x.com/realDaveFeldman`Instagram: `https://instagram.com/realDaveFeldman`Website: `https://thefeldmanprotocol.com`⏱ Chapters3:01 – Broken Science explained6:02 – Lifestyle vs polypharmacy9:03 – Medical school nutrition gaps12:13 – Incentives in healthcare15:57 – Sugar and cancer framing18:36 – Trial endpoints questioned21:11 – GLP-1s and tradeoffs24:01 – Weight loss vs health26:21 – Personal choice in diet29:02 – Early insulin signals32:25 – Publishing and paywalls35:10 – Journalism vs academia38:42 – Conflicts of interest42:08 – Peer review problems45:44 – Delays in publication49:12 – Who funds research52:48 – Education as prevention56:19 – Reproducibility crisis59:01 – Replication failures1:02:28 – Meta-analysis limits1:05:30 – Industry influence1:08:54 – What gets taught1:12:40 – Transparency gaps1:16:33 – Accountability in science1:38:20 – Where reform starts1:40:14 – Transparency vs incentives1:52:38 – Publishing power dynamics2:05:11 – Peer review bottlenecks2:17:44 – Conflicts without disclosure2:30:06 – Career risk in dissent2:42:31 – Nutrition sidelined again2:54:57 – Prevention vs treatment3:00:14 – N-of-1 data debate3:12:48 – Prospective study limits3:25:22 – Community-driven research3:37:49 – IRB and self-selection3:50:17 – Data ownership questions4:02:41 – Tech platforms for science4:10:06 – Scaling transparency4:15:32 – Reforming research norms4:18:54 – Public accountability4:20:41 – Communicating uncertainty4:22:53 – Where to find Emily4:23:05 – Final reflections#FeldmanProtocol #DaveFeldman #EmilyKaplan #BrokenScience #MedicalResearch #ScienceJournalism #MetabolicHealth #NutritionEducation #HealthcareIncentives #ReproducibilityCrisis #PreventiveMedicine #PublicHealth

In this episode of The Feldman Protocol, a central question hangs over the conversation: what actually causes a heart attack when standard risk markers look “normal”? Guest Dr. Stephen Hussey, DC (functional medicine practitioner focused on cardiovascular disease), makes the case for re-examining core assumptions about heart disease. Topics include plaque vs. risk, LDL cholesterol, CAC scoring, stress physiology, hydration, type 1 diabetes, endurance exercise, and alternative mechanisms behind myocardial infarction.

🔥 This episode is sponsored by us -- Own Your Labs [http://ownyourlabs.com](http://ownyourlabs.com) -- private blood testing services.

🩸Over 300 blood tests

💰Extremely affordable

❤️ We love our customers

(Yes, we are literally funding the entire podcast from our own company -- so if you want to show your support, keep getting your private blood testing through our service. Thank you! 🙏)

🔗 CONNECT WITH DAVE FELDMAN:

Main Channel: https://youtube.com/@realDaveFeldman

X/Twitter: https://x.com/realDaveFeldman

Instagram: https://instagram.com/realDaveFeldman

Website: https://thefeldmanprotocol.com

⏱ Chapters

3:06 – Why heart cells don’t regenerate

8:12 – Marathon runners & plaque paradox

13:48 – Introducing Dr. Stephen Hussey

18:37 – Type 1 diabetes & heart risk

23:54 – Diet changes and inflammation

29:35 – Low-carb, keto, and carnivore paths

35:10 – Insulin, carbs, and standard care

40:52 – Fear of ketosis vs ketoacidosis

46:18 – Discovering lipid anomalies

51:40 – Rejecting statins early on

57:12 – Elevated LDL in context

1:02:44 – Writing a heart disease book

1:08:30 – Widowmaker heart attack story

1:14:06 – CAC score of zero explained

1:19:42 – Stress, dehydration, and triggers

1:25:18 – The moment symptoms began

1:30:54 – Cath lab and LAD blockage

1:36:20 – Stent placement and relief

1:41:58 – Was it plaque or clot?

1:47:30 – Alternative MI mechanisms

1:53:12 – Parasympathetic nervous system

1:58:54 – Vasa vasorum hypothesis

2:04:36 – Transcytosis and ApoB

2:10:18 – Endothelial injury models

2:15:44 – Exercise-linked occlusions

2:21:06 – Post-MI medical advice

2:26:30 – Five lifelong medications?

2:31:48 – Blood pressure overshoot

2:37:22 – Blood thinners and stents

2:42:54 – Re-evaluating cholesterol blame

2:48:10 – What medicine gets wrong

2:53:36 – Prevention beyond LDL

2:58:52 – How Stephen works with clients

#FeldmanProtocol #DaveFeldman #StephenHussey #HeartHealth #Cardiology #MetabolicHealth #Cholesterol #LDL #Atherosclerosis #CACScore #Type1Diabetes #ExerciseScience

In this episode of The Feldman Protocol, we ask: What happens when clinical guidelines collides with messy real-world outcomes? Guest Bret Scher, MD, makes the case for rethinking metabolic health, evidence hierarchies, clinical incentives, LDL interpretation, ketogenic therapies, guideline rigidity, psychiatric applications of metabolic interventions, and his own evolution from cardiologist to medical director in the metabolic-health space.🔥 This episode is sponsored by us -- Own Your Labs http://ownyourlabs.com -- private blood testing services.🩸Over 300 blood tests💰Extremely affordable❤️ We love our customers(Yes, we are literally funding the entire podcast from our own company -- so if you want to show your support, keep getting your private blood testing through our service. Thank you! 🙏)🔗 CONNECT WITH DAVE FELDMAN:Main Channel: https://youtube.com/@realDaveFeldmanX/Twitter: https://x.com/realDaveFeldmanInstagram: https://instagram.com/realDaveFeldmanWebsite: https://thefeldmanprotocol.com⏱ Chapters3:00 – How clinicians lose objectivity13:57 – When lifestyle advice keeps failing24:55 – The social cost of challenging LDL norms35:52 – Epidemiology’s limits in nutrition46:50 – Why “healthy user bias” distorts data57:47 – The Diet Doctor era and its impact1:08:45 – Red meat, risk, and uncertain evidence1:19:42 – Predicting outcomes vs. assuming causality1:30:40 – The guidelines problem inside medicine1:41:37 – Why patients succeed outside the system1:52:35 – Multiple dietary paths, not one dogma2:03:32 – How personality shapes dietary fit2:14:30 – From keto diet to medical therapy2:25:27 – The mindset shift toward low carb2:36:25 – How podcasting changed Bret’s trajectory2:47:22 – The origin story of Metabolic Mind2:58:20 – Metabolic psychiatry’s scientific emergence3:09:17 – Coalition for Metabolic Health vision#FeldmanProtocol #DaveFeldman #BretScher #MetabolicHealth #Keto #LowCarb #Cardiology #EvidenceBased #NutritionScience #LDL #Epidemiology #CriticalThinking #MetabolicPsychiatry #HealthPolicy #MedicalGuidelines #Wellness #MetabolicMind #Podcast #ScienceDiscussion