In this week's episode of *Heart Doc VIP*, Dr. Joel Kahn begins by expressing heartfelt concern for those affected by the recent and upcoming hurricanes, hoping everyone finds safety and shelter during such difficult times. The mini topics this week include a look at heart disease in women, the harmful effects of toxic plastic (PFOS) on sleep, and the importance of plant chemicals called phytonutrients—specifically polyphenols and carotenoids.  The main focus is an important new study examining carotid and heart plaque in asymptomatic individuals, with an average age of 69, and how it affected their survival over a 12-year period. Dr. Kahn discusses a subgroup whose worsening plaque put them at the highest risk, emphasizing the importance of Omega-3s in plaque prevention—something that’s been a focus at the Kahn Center since 2015. You can read more about this topic in the article linked below.  Special thanks to our sponsor, Igennus. Use discount code *DrKahn* at checkout for 20% off your next purchase at igennus.com. Read more about plaque prevention here: What Do I Do with My High Coronary Calcium CT Results?