The new 2025-2030 Dietary Guidelines just dropped, and the internet is already losing its mind. But are they actually that bad? Today, we are taking a look at the actual document—ignoring the online rage for a second—to see what the government is actually recommending. We walk through the shift to an "inverted pyramid," the surprisingly higher protein targets, and the controversial stance on saturated fats versus "healthy oils." We also look at the new emphasis on "eating real food" to combat chronic disease. Let's cut through the noise, look at the text directly, and see if these new rules can actually make us healthy again.

Stop stressing over every health detail & start living! My FREE 'Necessary Nine' PDF cuts through the noise, giving you the essential things you need for a healthy life.

➡️ Download Here: https://www.jrennickemd.com/necessaryninepdf

CHAPTERS:
00:00 - Intro: The Internet is Mad
00:19 - The New "Inverse Pyramid"
00:58 - The Core Message: "Eat Real Food"
01:20 - America's Chronic Disease Crisis
02:35 - New Protein Recommendations (1.2-1.6g/kg)
03:39 - Dairy & Gut Health
04:08 - Fruits & Veggies: Eat the Rainbow
04:51 - Healthy Fats & The Saturated Fat Controversy
05:30 - Grains & Limiting Processed Foods
06:31 - How to Spot Added Sugars
07:12 - Alcohol & Sodium Updates
07:58 - Guidelines for Infants & Pregnancy
09:15 - Chronic Disease & Low Carb Diets
10:36 - My Take: The Saturated Fat Contradiction
12:35 - The "Processed Food" Problem & Incentives
14:29 - Conclusion: Will This Actually Change Anything?

SELECTED REFERENCES:
https://cdn.realfood.gov/DGA.pdf

*Disclaimer*
This podcast is for entertainment, education, and informational purposes only.
The topics discussed should not solely be used to diagnose, treat , or prevent any condition.
The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate.
Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

Carnivore influencer Dr. Kiltz recently revealed a shocking update about his heart health, sparking a massive debate in the nutrition world. In this episode, we dive into his story with empathy and use it as a teaching moment. We'll break down what his test results actually mean, explain the difference between a Calcium Score and a CT Angiogram, and discuss why "feeling fine" isn't always enough when it comes to heart disease.

Stop stressing over every health detail & start living! My FREE 'Necessary Nine' PDF cuts through the noise, giving you the essential things you need for a healthy life.

➡️ Download Here: https://www.jrennickemd.com/necessaryninepdf

CHAPTERS:
00:00 - Intro
00:51 - The Problem with Online Polarization
02:10 - Dr. Kiltz's Health Update: CAC Score & Colitis
02:44 - Why "Feeling Fine" Can Be Dangerous
04:06 - The Road Construction Analogy: How Plaque Hides
06:02 - What is a Coronary Artery Calcium (CAC) Score?
07:22 - Understanding Calcium Score Ranges
08:48 - The "Blind Spot" of Calcium Scores
09:20 - CT Coronary Angiogram Explained
10:35 - Dr. Kiltz's New Protocol

SELECTED REFERENCES:
Original video: https://youtu.be/UzYd2Zf9Gn8?si=zJXiRfnJiS3laai9
https://www.jacc.org/doi/10.1016/j.jacadv.2025.101686

*Disclaimer*
This podcast is for entertainment, education, and informational purposes only.
The topics discussed should not solely be used to diagnose, treat , or prevent any condition.
The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate.
Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

A recent paper just dropped claiming an injection can cut heart attack risk by 25%—even for those who have never had one before. But is this a medical breakthrough or just expensive hype? In this episode, I’m diving deep into the Vesalius trial to separate the science from the headlines.

We’ll break down how PCSK9 inhibitors work (using a baseball analogy, of course), analyze the impressive relative risk reduction, and honestly discuss the "gray areas" like mortality benefits and the diversity gap in the data. My goal isn't to be a guru, but to help you cut through the noise so you can make evidence-informed decisions about your heart health. Let's dive in.

Stop stressing over every health detail & start living! My FREE 'Necessary Nine' PDF cuts through the noise, giving you the essential things you need for a healthy life.

➡️ Download Here: https://www.jrennickemd.com/necessaryninepdf

CHAPTERS:
00:00 - Intro
00:30 - Nerding Out on History: Statins & Previous Trials
01:03 - The PCSK9 Context: FOURIER & ODYSSEY
02:40 - Mechanism of Action: The "Catcher's Mitt" Analogy
03:47 - Vesalius Trial Design & Demographics
06:06 - The Endpoints: What is MACE?
07:16 - Addressing the "Big Pharma" Funding
08:28 - Primary Results: LDL Drop & 25% Reduction
09:34 - Absolute Risk vs. Relative Risk (The Real Numbers)
10:12 - Number Needed to Treat (NNT)
11:13 - The Mortality Question: Did it Save Lives?
12:06 - Safety Profile: Diabetes, Brain Fog & Muscle Pain
13:16 - Limitation 1: The Mortality "Provocative Signal"
13:57 - Limitation 2: The Ezetimibe Head-Scratcher
15:23 - Limitation 3: The Diversity Gap
15:52 - Bottom Line: Guidelines, "Big Rocks" & The Future

SELECTED REFERENCES:
https://www.nejm.org/doi/full/10.1056/NEJMoa2514428
https://www.nejm.org/doi/full/10.1056/NEJMoa1801174
https://www.nejm.org/doi/full/10.1056/NEJMoa1615664

*Disclaimer*
This podcast is for entertainment, education, and informational purposes only.
The topics discussed should not solely be used to diagnose, treat , or prevent any condition.
The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate.
Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.