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tv   PODKAST  1TV  March 19, 2024 2:30am-3:00am MSK

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cholesterol plays a vital role, but like everything in our body, when there is little cholesterol it is bad, when there is a lot of cholesterol it is even worse, so the most important thing is balance, you probably also know, you have already said, but this division is good, bad, evil cholesterol, there are all sorts of scary masks they draw around cholesterol, this is the division, it’s conditional in our body at all... there is nothing definitely bad, it’s the same with cholesterol fractions, on the one hand, those same fractions in general are such transport components cholesterol, in order to convey it to different systems, a fraction is a compound of cholesterol , yes a fraction is such compounds, low-density lipoproteins, which are called evil, bad, harmful cholesterol, it has the ability to fall out, it actively falls out of these structures , and thus... this is how
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atherosclerotic plaques are formed, it also falls out for a reason, as they say, there are appropriate conditions for this, after all, in our country, let’s say, the risk of developing atherosclerosis progressively increases with age, and with under certain circumstances, for example , when smoking, when drinking alcohol , when eating poorly, when there is insufficient physical activity, well, in general, when a person does not take care of himself, yes, when a person does not take care of himself, this is correct, they are created. and with obesity, of course , certain conditions are created, systemic inflammation, and, let’s say, this inflammation does not affect only adipose tissue, it develops in the vascular wall, the inner wall, that’s where it begins to be deposited - this fraction, forming atherosclerotic plaques, there are also high-density lipoproteins, this is good cholesterol, we are trying in every possible way to increase it in reasonable ways, here it is...
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there are also triglycerides, which we also evaluate when we look at the cholesterol profile, this is a form of fat storage, and if they very high, this is also an unfavorable moment and... it can also be influenced, but why do our cholesterol levels generally increase, that ’s what you think, some of the main points are, well, food, of course, of course, of course, poor nutrition, poor nutrition, but we have acquired factors, and there are congenital characteristics, there is such hereditary hypercholesterolemia, so that hypercholesterolemia is understandable, hyper is a lot, cholesterol is understandable.
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blood anemia, that is, a high level, high level of cholesterol in the blood, but if there is hereditary hypercholesterolemia, then this is what a person was born with, in the family most people will have such a problem, unfortunately, such people used to live quite short lives, somewhere from 30 from small, they could have a heart attack or stroke they died, and the second important , so to speak, important division is acquired... acquired - this is, of course, well, first of all, unhealthy diet, abuse of civilization, a disease of civilization, and fast food, namely, in addition to the fact that the balance of macronutrients is disturbed , that is, fats, proteins, carbohydrates, yes, a lot of carbohydrates, a lot of fatty foods, or some such thoughtless, predominance of one component, but we remember that if we are on a high carbohydrate diet...
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alcohol nicotine abuse with as we age, our risks increase, this is not just because age itself, but because with this age... a number of changes occur, our body composition changes, we have less muscle mass, more fat mass, this increases the risks of development subclinical inflammation, the amount of hormones decreases, yes, the sex glands stop working, all this also contributes to the fact that we move less, and indeed as we age, most of us begin to move less, there is less strength for this, less interest to all this, well, that is, these are the factors and the amount of adipose tissue and...
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there are a lot of myths around cholesterol, well , for example, you can often hear, i don’t eat yolk because i have high cholesterol, i always have this it’s regrettable, because... the yolk is generally the most valuable thing in an egg, now i’ll say it’s completely sedition, once upon a time it was surprising to me, there is more protein in the yolk than in the protein itself, yes, that is, digestible there is less protein, there is more protein in the white, there is more in the yolk, therefore from the yolk you shouldn’t refuse, and i repeat once again, if you abuse even vegetable oil, you will have more cholesterol in your body, because the amount is the largest. that almost 70% of cholesterol is formed in one’s own body and only from those products that a person provides to him, yes, yes, about 30% of this cholesterol enters our body in its pure form. now there is still such a myth that all
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cholesterol is formed in the liver, yes, in fact, most of it is formed there , approximately 50% of all 100, but there is also 20-25 before... to other organs, this is the skin, yes, that same sebum, this is the intestines, these are the gonads, and the adrenal glands, where , in fact, we form, for example, most of the thyroid hormones, the same testosterone in us is produced not only in the gonads, yes, in the ovaries or testicles, but also in the adrenal glands, so there is also such a small factory for the production of cholesterol, therefore... the liver is the liver, but everything else also functions, this, friends, is green a laser light, this is the kind of laser that crushes kidney stones into fluff, start, doctor, here's how to get rid of kidney stones, about many other
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super-important and interesting things in the program to live healthy, tomorrow on the first one. we continue to talk about fat and cholesterol. this is a substance deception podcast. my name is olesya nosova, with me is zukhra pavlova. you can watch all episodes of the podcast lab project on the website of the first channel 1tv.ru. regarding cholesterol , everyone is afraid to take medications, they are not afraid, they are afraid to take medications. statins, statins, yes. and this is a big problem, because if articles are shown, then accept them vital. for life, yes , it’s for life, firstly, secondly, it’s vital , otherwise everything could end extremely tragically, here it’s not a question of a person’s choice, it’s not, it’s not a question, i want to accept statutory, i don’t want to accept statutory, that’s it, but if the situation has not reached the point where the doctor prescribes these medications, then, as they say, you can
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fight a little, you can change your diet, yes, you can somehow reduce other factors, the same smoking, and so on and so forth. if you give up smoking, then there is a risk the development of such catastrophic cardiovascular events is reduced by 56%. what do you even need to say after this? well, yes, now the problem is not only in cigarettes , now there is also a problem in vapes, the web turns out to be even worse, yes, even worse, but we don’t have compulsory medicine, so the doctor cannot force the patient, unfortunately there is not always enough time to...
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no matter who comes to the cardiologist at whatever stage, and somewhere else the doctor will actually say that for now you can do without a statin or when uh huh. will already prescribe and say that you definitely need to take even high dosages, but you still need to change your lifestyle , because the number in the tests is an important story, but without changing your lifestyle, everything else, even what is not reflected in the tests, will be progressive deteriorate, deteriorate, so
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physical activity is vital, and at the same time, here we really want our listeners not to rush to extremes, if you have never worked out in your life... i decided to go for a half marathon, but this is just completely critical, in no case, start small, start with walking, this is the most wonderful thing you can start doing, there is more. one physiological very good exercise option is swimming, when you and i start to move, our muscle mass is actively involved in this process, it absorbs excess resources that would have accumulated, here oxidation occurs and those same excess fats begin not to fit into the depot , but to burn, this is very, very significant, we will feel better, our body will make itself felt, because it appears general feeling of muscles. that you are like jelly and don’t understand how it is for you, what works, but here you can clearly clearly feel your muscle mass, nutrition, if you don’t
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explain to a person why it is important to eat like this or that, he too can, that they say, get into it, but do it in your own way according to your habits, or for some reason according to the will, the instruction, this is not always right, but it is not wise to completely give up animal fats, but if you divide all the fats into... like proportions, then there should be about 30 animals, and 70 plants, and this includes avocado, let's say, yes, and some kind of oil that you used in the salad, and there is sour cream, it is also full of fat, if lard, a piece of lard, yes, no matter what it is, pork, lamb, goose, this pure fat, but in the traditions of many peoples , eating lard is just that... this is our everything, and what in such a situation should we say,
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a piece, like candy, please, but if lard becomes the basis of the diet, or if lard begins to be fried , then this is very bad, yes, but in general there is such an interesting thing, it turns out, here again returning to the topic of fat, it turns out that a huge number of people feel very bad about fat in food. well, it would seem that there is a certain food , i don’t know, it’s fried beef, one person eats it and he’s fatty, the second one is fine with him, that is, he has reduced sensitivity to fatty foods, and this is a big problem from a nutritional point of view, because he can overeat fat without meaning to, this is also a good example, because many people believe that doctor’s sausage, well, firstly, it is healthy, because it doctoral, doctoral. brings only benefits, heals a lot, so , and secondly, it’s pink, it has no
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fat, let’s say, amateur, it has fat, but in fact there is practically no difference between them, it’s just that the fat is hidden, ground, so, therefore - you must definitely take into account this story, that you don’t always have to trust your taste buds, if you eat something and it seems to you that it is not fatty, still read the label, look how much fat there is, again this everything comes back to 30% of cholesterol comes from food, therefore, if you eat less healthy doctor’s sausage, then accordingly you will deliver less cholesterol into your body, you mentioned fatty foods, so how do you feel about low-fat cottage cheese? interesting question, the nazar of foggy youth , as they say, it seemed that this was some kind of salvation , you can eat it and now, to be honest, it seems to me that this, that this is something wrong, firstly, the quality of the product seems to me
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to be much lower than normal cottage cheese, secondly, probably when it is produced, does more harm than good, because, well, azhir, how do they extract it from there, apparently with the help of some kind of chemical reactions or something, well , most likely yes, i’m not a technologist, but i assume that this is some kind of extraction, well, let’s say it’s useful, let’s say there’s no harm there. it turns out that what is useful, what should be in this very fermented milk product, will not
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be simply absorbed, because there is no fat, so a thoughtless fight against fat is not very reasonable, well, products without fat are difficult to eat, but to be full, the saturation will be weak, you will just eat more banally, and the satiety will be shorter, that is, in fact , it turns out that in terms of calories you will get about the same, but in terms of volume much more, you will stretch your stomach, which... by the way, absolutely not a joke, this is a real problem, distended stomachs, yes, it is, by the way, i saw a scary picture on the internet, the stomach of a world champion - in speed eating, either hot dogs or something else, well, it’s just a nightmare, that is, there, well, well, in general, yes, in general, in a pregnant woman women, it seems to me that the sizes there are more modest , but thank god, it was not a live cut, but just so to speak, an imitation, a picture, but
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yes, people, yes, you are right about saturation, we have such a wandering nerve, we somehow. they also talked about it, it not only reflects the volume of the stomach, well, when we overeat, it signals saturation to the center, stop too much, it also records this level of free fatty acids, that is, it will not last much longer react to low fat cottage cheese than if this cottage cheese had a normal amount of fat, you don’t need to overeat fat either, because every extra calorie there is a plus, and not a minus. but fats are just as important to us as proteins and carbohydrates. the only thing is, of course, when we, let’s say, ate a piece of meat and greens with you, yes, this is a wonderful, uh, such a diet, but if you imagine that there is not a drop of fat in this meat, well , hypothetically, then part of the protein from this meat
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will be spent on fat synthesis, because this is a vital component for our body, that is, it is not worth excluding them completely. just like elevating them to the rank of priority and placing emphasis on fats in the keto diet is also, in my opinion, not entirely reasonable, this form of nutrition has a place because it is a diet, it is a therapeutic event, such an event is limited in time , but limited in time time event, it helps to achieve a certain improvement in remission, for example , with drug-resistant epilepsy, that is , that ... form of epilepsy that does not respond to drugs, and with achieving remission, as a rule , you need to leave this diet option, because - it is not physiological, it is just simply harmful, well, it has its consequences, but here we have - certain, say,
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places, regions in the world , where there is more fat in the diet. well, for example, the far north , yes, there are seals, salmon, these are the food options , they are usually oversaturated with fats, but as for seafood, it’s still more, so-called polyunsaturated fatty acids, that is, more beneficial to our body, which is why the balance there is shifted precisely towards these polyunsaturated... beneficial fatty acids, it is important to say that omega-3 fatty acids are something that our body does not produce in any quantity, under any circumstances, this only the fraction of fatty acids that comes with food is very useful and necessary , we simply cannot live without it, and it is an anti-inflammatory option;
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moreover, in large doses omega-3 also has a blood thinning effect, it reduces the risk... and has an antidepressant effect , that's why that when we have a lot of omega-3 acids , they suppress the reuptake of serotonin , a person has a better mood, not only the inflammatory component is suppressed, but also the reuptake of serotonin, so it is a useful substance from all sides, but there is no need to abuse it, because these are also calories, they are still fats, that is, everything has a certain proper amount. all this is pre-distributed according to quantity for a person, an important point in this aspect, this is important for both children and adults, here’s something else that is important to say, and you can often read that there is a lot of omega-3 in plant components, flaxseed oil, rapeseed oil and so on,
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there is one biochemical trick so that this version of omega from plant... in the body, but we cannot live without inflammation at all, and inflammation every second, for a minute it fights various viruses, bacteria that surround us, which inflammation is essentially cleansing. this is a defensive reaction, a defensive reaction, it is not only directed against some external agents, inflammation develops inside one’s own body as such
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means of rejuvenation, yes, old cells die, new ones reproduce, appear , that’s why the inflammatory reaction is necessary for life, to maintain it, you need omega-6, that’s why we produce omega-6, but omega-3 is not produced, that’s why the inhabitants of the far north are in this in terms of their situation , they are in such a more favorable position: they have a lot of omega-3 in their diet, we have very little, so we, as a rule, supplement this with some kind of medication or dietary supplements. and we continue our conversation in the podcast deception substances about fats and cholesterol and zukhra pavlova and olesya nosova are with you. usually people are after the holidays, after some kind of vacation, after a vacation. which is usually combined with a large amount of food eaten, and the best tourism, as you know, is gastrotourism, so they - as a rule
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, worry that they have become very fat, but if there are any limits, how fat a person can get there in a day, in a week, well, i mean, how much fat can he gain, or not, or can he gain indefinitely, well, relatively speaking...
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into adipose tissue, yeah, if there is no such active physical activity, if it is, a person has a normal balance of hormones, then muscle mass is formed, of course, when a person has gained a kilogram in a day, but this is mostly water, of course, and maybe some kind of food that left the body at the wrong time, in some conditions when intestinal motility does not work well, in general it is most likely more of a set. but we all talk about fat, that fat is stored there and so on, but this is the most important mechanism in general, which
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helps a person to escape, but if there were no fat in our body, we would live very poorly, yes, this is generally the main energy depot, reserve, gold reserve, gold reserve, in addition, it is also thermal insulation when.. .my patients are losing weight, losing weight, they often say: doctor, i started to feel cold, i have never been cold before, this is really true, because there is less adipose tissue and subcutaneous, intra-abdominal, and this thermal insulation and its reduction makes itself felt know, but this is temporary, then everything is restored, this does not mean subcutaneous fatty tissue, but this sensation of heat and cold, but thermoregulation. a person , of course, who is slimmer will need to dress, well, warmer, let’s say, because this fat layer will no longer protect him
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as it did when there was an abundance of it, so fat is both an energy reserve and thermal insulation is a shock-absorbing substance, because our organs in the abdominal cavity resort, let’s say, yes, they would simply break, figuratively speaking about each other, that’s why it’s an omentum. holds all this, creates such a pillow, yes, that - which protects our organs, this is probably, mm, what we should have started with regarding the fat depot, because for thousands of years a person could die not only from infection, there is cold, also from hunger, so such evolutionary mechanisms have developed to store everything that comes, because today there is food, but tomorrow it may not be there, and to spend it. economically, but store as much as possible, yes, well , probably, maybe someday these mechanisms will change in our country and maybe people future i can.
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this is white fat - this is the so-called abdominal fat, beige fat is subcutaneous, there is yellow fat - this is in the tubular bones, there is pink fat - this is in the mammary glands of lactating women, that is, only for a certain period of time, and there is also brown fat, this is the fat that infants, athletes , professional athletes have, it is mainly located on the back surface
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of the chest between the shoulder blades and a little on... the lower back, well, it leaves a person with age, the most favorable, the most, well, of access, well, for most people, there is white and brown, yes, this is subcutaneous fat, beige, because - it synthesizes more anti-inflammatory substances that suppress inflammation, in the abdominal, which is in the stomach, it synthesizes more substances that stimulate inflammation, therefore , the abdominal form... obesity, and this is when the waist in men is more than 94 cm, and in women more than eighty, this abdominal form of obesity, this one, it is much more evil, harmful, harmful, because it is against the background of abdominal obesity that it is formed metabolic syndrome, diabetes , hypertension, other variants - cardiovascular diseases, the risks of cancer, musculolithiasis and
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so on increase, but as i understand it, you don’t want to reassure us that there is some way or some food or what -it’s a food supplement that if we take it, our internal white fat will disappear, but beige, beige will remain, beige is healthy, when people with abdominal obesity go for liposuction , subcutaneous fat is removed, the most healthy, this always causes me regret, because this fat is just called for.
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without consequences, when a person loses weight correctly , it goes away from here and there, yes, but the subcutaneous fat part usually goes away later, most often a woman comes with this complaint and says: that’s it, i’ve already lost everything, that’s it ok , there is still left here, this subcutaneous part on the stomach, it will go away last, when the caloric content really approaches the required one, so that there is no excess reserve, it’s harder to grow with this and there is no need to grow... what is called very active try getting rid of this particular fat, especially since it’s definitely not necessary in the first place, this needs to be completed, and in order to really achieve the ideal result, nutrition should be at such a level of calories that you spend more and consume less, this is very difficult today, because people have almost no time to move, they are always at work , and then they come home tired, you can’t force anyone to move, well, at the same time
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, it’s all possible, you just need a little, a little, a little more think about with your food, don’t eat mindlessly and under no circumstances completely exclude fats from your diet, because this is a mistake that many people fall into, unfortunately, this is the case, thank you, there was a podcast with you about the deception of substances, my name is olesya nosova, i am the editor-in-chief of komsomolskaya pravda, and with me was the famous endocrinologist, zukhra pavlova. hello, this is the easy money podcast, i ’m its host, mikhail khanov, today we have a very relevant topic, loans, how to try to take them, how to take them right...

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