This episode is brought to you by Plunge and Lumebox.  Heart disease stands as one of the foremost global killers, claiming the top spot as the leading cause of death among women. With numerous factors contributing to its development, the future lies in precision cardiology—individually, customized, and prevention-focused. Today's episode is a deep dive into endothelial health and the journey to becoming heart attack-proof. Today on The Dhru Purohit Podcast, Dhru sits down with Dr. Michael Twyman and Dr. Neel Patel to discuss endothelial and cardiovascular health. Dr. Twyman shares his approach to assessing an individual’s risk of heart disease, metabolic health, and the importance of nitric oxide. Dhru, Dr. Patel, and Dr. Twyman discuss the role of genetics and the bloodwork you can order on your own and through a traditional healthcare system. They also discuss the diet and lifestyle for optimal heart health, supplements that should be incorporated into your daily routine, and the role of statins.  Dr. Michael Twyman is a board-certified cardiologist focusing on the prevention and early detection of heart disease. Dr. Twyman completed his cardiovascular training at St. Louis University after he completed a four-year active-duty tour as an internist at Naval Hospital Beaufort. He has been in private practice since 2012 and uses the best of conventional, quantum, and Functional Medicine and biohacking to get to the root cause of his patients’ cardiovascular issues.   In this episode, Dhru, Dr. Twyman and Dr. Patel dive into (audio version / Apple Subscriber version): Microplastics and cardiovascular health (00:00:05 / 00:00:05) How to approach vascular health and what is endothelial health (3:42 / 3:42) Traditional versus Dr. Twyman’s approach to the risk of heart disease (10:00 / 8:10) Glycocalyx: what damages it and what supports it (14:32 /13:02) How to approach metabolic health (21:40 / 20:19) The role of nitric oxide (24:00 / 22:14)  Photobiomodulation recommendations (33:00 / 31:07) Nitrates in your diet, testing nitric oxide levels, and Dhru’s results (42:00 / 39:00) How does high blood pressure start (53:00 / 51:15) The role of genetics (57:00 / 54:36)   The three buckets of bloodwork and ordering bloodwork in the traditional system (1:01:00 / 58:33) Best diet for heart health (1:18:00 / 1:15:15) Optimal supplementation (1:26:00 / 1:22:40) Statins: who should take them and who should avoid them (1:37:00 / 1:33:50) Biohacking: blue light blocking glasses and sauna (1:58:00 / 1:53:10) Also mentioned in this episode: Lifeforce Digital Huberman Protocol post Image of Dhru's ApoB results  For more on Dr. Michael Twyman, follow him on Instagram @drtwyman or his website, drtwyman.com.  Right now, Plunge is offering my community $150 off cold plunges and their core products. Just go to plunge.com/dhru or enter code DHRU to revolutionize your wellness journey today.  Lumebox is offering my community $260 off their FDA-approved portable Red Light device! That's over 40% off! Go to thelumebox.com/dhru and get your Red Light device.