Can an Ultrasound Spot Hidden Heart Disease?!

Carotid Intima-Media Thickness (CIMT) ultrasound is a radiation-free, FDA-preferred tracking tool that can spot soft, non-calcified plaque years before a coronary calcium score changes, and Joe (the 'rogue technician') claims to have scanned 4,000 people, finding plaque in ~80% of them.

Real, fermented natto (the slimy soybean dish) outperformed nattokinase pills in Joe's personal plaque regression, shrinking plaques only after six months on the live food; he recommends Japanese grocery styrofoam packets for $1 each.

The PCSK9 inhibitor Repatha can halve IMT wall thickness, but Ben Greenfield stopped after his LDL dropped into the 60s and he worried about cholesterol's role in hormone and cell membrane health.

Niacin (nicotinic acid) was systematically vilified after its patent expired around 2010–2013, despite a strong track record for raising HDL and lowering LP(a); Joe considers it a powerful, under-prescribed tool.