What if a quick, painless ultrasound could reveal your true vascular age?

In this bonus episode of Heart Doc VIP, host Dr. Joel Kahn sits down with Joseph Ence to discuss CIMT (carotid intima-media thickness)—a simple, non-invasive test used in over 5,000 research studies over the past 20+ years to measure plaque and thickness in the carotid arteries.

Safe and radiation-free, this ultrasound provides valuable insight into your cardiovascular health by estimating your "vascular age."

They also explore how targeted interventions—like lifestyle changes, supplements, and medications—may help improve—and even reverse—vascular age.

This week, Dr. Kahn breaks down new research on dementia risk, including the roles of high blood pressure and early menopause. He looks at conflicting studies on red meat and ApoE4, which pretty much sums up nutrition science: one study says yes, another says absolutely not. For now, limiting red meat—especially processed—is still the safest move.

He also covers the risks of skipping breakfast, calcium CT scoring for elevated lipoprotein(a), tooth loss and heart disease, long-term clopidogrel use after stents, ultraprocessed foods, Repatha and statins, Cleerly AI scans, micro-exercise breaks, and why elevated TMAO may increase blood clot risk.

This episode is sponsored by Igennus. Visit igennus.com and use code DRKAHN for a discount.

The replay of the 4th Reversing Heart Disease Summit is going on now. Register here: drtalks.com/summits/reversing-heart-disease

This week, Dr. Kahn addresses the newly published 2026 guidelines for the management of hyperlipidemia (high cholesterol), which will be studied and used by medical professionals all over the world. The top 10 takeaways are presented and are similar to the approach used at the Kahn Center for over a decade.

Other topics include the challenge of staying vegan, the influence of cold temperatures on aortic dissection, the development of clogged arteries after a normal heart artery CT scan, the role of olive oil on the brain, red light therapy and music and the autonomic nervous system, plant-based diets and TMAO, bacteria and the brain, the role of a low uric acid level, the advantages of Eliquis over Xarelto in a new trial, and the FDA inquiry into the maker of Wegovy and Ozempic.

Thanks to Igennus.com for their support. Use the discount code DrKahn to save.