Full Transcript Why I Stopped Eating Meat 0:00 Doc, why don't you eat meat? 0:01 Now, I can't tell you how many times I've heard that same question. 0:04 This particular time, it was after a lecture. 0:06 A woman walked up to me and she asked me that question, she told me how she had been watching a famous YouTube physician for years and that he had recommended 0:14 going keto. 0:14 And he also suggested that maybe the medical community did not want the truth getting out. 0:19 Now she wasn't angry. 0:20 She was searching, and now she was conflicted after hearing my lecture. 0:23 And what I told her next changed how I look at every single meal. 0:27 I open blocked arteries for a living, yes. 0:29 So at one point in my life I had to ask myself a hard question. 0:32 Why would I keep eating in a way that may help fuel the same disease I spend my time trying to treat? 0:38 Today, I'm going to show you why this is much more than just about cholesterol. 0:43 This is about the artery wall. 0:44 It's about microbiome. 0:45 Its about inflammation, about oxidative stress, bout clotting, metabolism. 0:50 And before this video ends, listen, I'm going to give you the simplest place to start, even if you never go fully plant based. 0:57 My name is Dr. 0:58 Columbus Batiste. 0:59 I am an interventional cardiologist and a lifestyle advocate. 1:01 This my answer. 1:02 Not to attack anyone, not to be tribal, Not tell you to just trust me. 1:06 this is my evidence based explanation for why I personally went whole food plant-based. 1:11 Now, let me start with a number, 529,299. Let that sit for a second. 1:18 That's not a statistic, that's a stadium full of people, several stadiums, who died because of what was on their plates. 1:25 And as an interventional cardiologist, I'm the last stop. 1:27 I'm downstream. 1:28 I treat what that food eventually becomes. 1:31 The heart attack, the stroke, blocked artery, I treated the consequence. 1:35 And that number, it made me realize I was treating explosions while the sparks were still flying upstream.
The Artery Wall and TMAO 1:41 That's when I changed my thinking. 1:43 Because when most people think about food and heart disease, they think of one villain at a time. 1:48 Salt, sugar, cholesterol, seed oils, red meat. 1:52 But biology does not work one villan at time, That is the mistake. 1:56 When I was trained, the story sounded like this. 1:58 Saturated fat raises LDL. 2:01 True. 2:01 LDl gets into the artery wall, becomes oxidized. 2:04 Plaques form. 2:05 All true. 2:06 Arteries narrow. 2:06 Heart attacks happen. 2:07 That story is not wrong. 2:09 It's just incomplete. 2:10 Because what changed my mind was realizing that meat does not only act through cholesterol, it may affect the system through the gut, 2:17 through oxidative stress, though endothelial injury. 2:20 through clotting, through inflammation, to metabolic dysfunction. 2:24 So here is how I want to walk you through this. 2:26 Three things meat may be doing inside your body right now. 2:29 And then the part people don't expect, what plants actually do in return. 2:33 Because this is not just about removing something bad. 2:35 We can never remove something from our lives without replacing it with something good. 2:39 It's about replacing with with that's actively working on your behalf. 2:43 Here is the phrase I wanted you to hold on to through the entire video. 2:47 The package matters. 2:48 Yes, the package matter. 2:49 It's not just the protein. 2:51 It is not the calories. 2:53 The package matters. 2:55 You ready? 2:55 Let's start with the artery wall. 2:56 One of the most underappreciated pathways is TMAO. 3:00 Red meat contains compounds like L-carnitine and phosphatidylcholine. 3:04 Gut microbes can convert these compounds into trimethylamine, and the liver then turns them into Tmao. 3:10 That would be fair. 3:11 red meat is not the only dietary source connected to this pathway. 3:15 Eggs, fish, shellfish, and L-carotene supplements, they also can influence it as well. 3:20 But red meet is one of the major players and one the most studied. 3:23 Now there was a landmark feeding study from Stanley Hazen's group and they found that eating red mead as the main protein source for just four weeks, 3:31 it raised circulating TML about three-fold. 3:34 This is in comparison to white meat or non-meat protein diets. 3:37 Now when the participant stopped the red meat diet, guess what happened? 3:40 The TMAO levels dropped back down. 3:42 The red me diet also reduced how efficiently the kidneys cleared Tmao. 3:47 So you may be asking, well, why does that matter? 3:49 Because TmAo is not just a lab number. 3:52 Now it's been linked to atherosclerosis related processes and Hazen's group also showed that TMAO, it can directly increase platelet reactivity and enhanced thrombosis, 4:02 that means clotting. 4:03 So this means food is not just changing your labs, It may be changing you plaque biology and clot biology. 4:09 And that matters to me because I treat the moment the clot forms. 4:13 That's what results in a heart attack or a stroke. 4:15 I've been in that room a thousand times. 4:17 The patient in front of me, they're semi-awake. 4:19 the family, They're nervous, their pensive, pacing in the waiting room. 4:22 And I'm there threading a wire through a blocked artery trying to get the blood moving again.
Heme Iron, AGEs, and Vascular Damage 4:27 Now what I want people to understand is this. 4:29 That moment didn't start in a cath lab. 4:31 It actually started years earlier at the table, right? 4:34 So when someone says my cholesterol isn't bad, I think, Well, that's not the whole story because arteries do not respond to one number in isolation. 4:41 They respond a total biological assault. 4:44 Now let's stay with the artery wall for just another moment. 4:47 Most people hear iron and they think strength, but heme iron, the kind found in animal tissue, it's packaged differently from non-heme iron found plants. 4:55 That matters because hee iron is more capable of driving oxidative chemistry, which can reduce nitric oxide availability and contribute to that endothelial dysfunction. 5:05 Now remember, nitric oxide is your arteries best friend. 5:08 It helps relax the vessels, it protects the endothelium, and it helps resist abnormal clotting. 5:13 Alright, now there's another component to this. 5:15 Its AGE's, advanced glycation end products. 5:18 And when meat is cooked at high temperatures, you know what I'm talking about, grilling it, broiling, frying, roasting, charring it. 5:25 it generates large amounts of AGEs. 5:28 That same browning people often associate with flavor can create compounds that become a problem inside the body. 5:35 AGEs can cross-link structural proteins like collagen and elastin, which makes the arteries stiffer over time. 5:41 Now stiff arteries, they drive your systolic blood pressure and they result in a wider pulse pressure as you age. 5:47 AGs also can bind a receptor called RAGE, and this switches on inflammatory pathways and enrages them, right? 5:53 and adds another vascular layer of vascular stress. 5:56 And this doesn't just stop at the artery wall. 5:59 This AGE cross-linking, it stiffens the heart muscle itself, contributing to diastolic dysfunction. 6:05 Now remember, diostolic disfunction is when the hear is too stiff and it doesn' relax, which increases the filling pressures and results in heart failure 6:12 with preserved ejection fraction. 6:14 So when I see someone with high blood pressure, thickened ventricles, metabolic dysfunction, and vassular disease, I'm not just thinking about the salt. 6:21 I am thinking of the cumulative injury, the years of oxidative stress, of endothelial salt, inflammatory signaling, high heat, 6:30 low fiber, and low phytonutrient eating. 6:33 Let me pause right here. 6:34 This is why I stopped seeing meat just as protein, fat, or calories. 6:38 I started seeing it as a package. 6:40 And that package, once again, it matters. 6:42 That question changed how I eat, not just how much protein, but what comes with the protein. 6:47 Now there's another fascinating reason that mammalian meat may affect humans differently. 6:53 Red meat, It contains a molecule called NEU-5GC. 6:57 Most mammals, they make it naturally, But humans don't. 6:59 So when humans eat mammalians meat that means from any animal, small amounts of that molecule may get incorporated into human tissue anyway. 7:07 And because the body can recognize it as foreign, that may contribute to a chronic low-grade immune response. 7:13 In other words, inflammation. 7:14 Now I want to be honest with you here, right? 7:16 This is early science. 7:17 This does not be saying that this one molecule explains heart disease in completion, but it's a package. 7:23 And here's what I kept noticing.
Why Plant Foods Protect the Heart 7:24 Every time I dug into a new pathway, a study, new mechanism, the pattern was the same. 7:30 Meat is not just protein, it's not fat, not calories. 7:34 It is the package. 7:35 And that package carries signals the body has to respond to over and over again, meal after meal, year after year. 7:42 In saturated fat, it may do more than just affect the cholesterol. 7:46 It may also activate the inflammatory signaling in ways that resemble parts of the body's early warning immune system. 7:52 In plain English, some meals high in animal saturated fats, they may not just raise the lipid burden. 7:57 They may help create this low-grade inflammatory environment linked to insulin resistance, vascular stress, and structural heart changes over time. 8:05 So here's the big idea. 8:06 Two meals can have the same calories, same protein, the fat but create very different biological conditions. 8:13 And that is why the package matters. 8:15 All right. 8:16 Now here's the part that made the decision clear for me. 8:19 Plant foods did not just look better in isolation. 8:22 They looked better when you replace it. 8:24 That matters because that's how real life works. 8:27 You don't eat nutrients fully in the air. 8:29 Not just eating fats or carbohydrates or nutrients. 8:32 Replace one thing with something else. 8:34 Real food, whole food. 8:35 Before I go deeper, let me give you the practical promise. 8:38 Near the end, I'm going to show you the easiest place to begin so this doesn't feel like an all or none conversation. 8:44 But first, here's what really changed my mind. 8:46 Whole plant foods don't just take harmful things off the table. 8:49 They actively create different biological environment because when you replace red and processed meat with beans and lentils and peas and soy foods, 8:58 nuts and seeds and intact grains, you're not just subtracting harmful exposures. 9:02 You're adding protective mechanisms. 9:05 That's the key. 9:05 If you adding fiber that helps pull cholesterol out of the circulation and it changes what your gut bacteria produce. 9:12 You're adding plant compounds that support nitric oxide, which helps blood vessels relax and protects the endothelium. 9:18 Your adding polyphenols that help quiet the inflammatory signals and reduce oxidative stress. 9:24 your adding minerals like potassium and magnesium that supports blood pressure regulation. 9:29 And you're adding the raw material for short chain fatty acids. 9:32 The compounds your microbiome makes when it ferments plant fiber. 9:36 Now here's the one that stopped me in my tracks. 9:38 There was a 2024 preclinical study. 9:40 This was published in the Journal of American Heart Association. 9:43 So a real journal. 9:43 And it looked at butyrate. 9:45 Buty rate is what your gut makes. 9:47 When it permits plant fibers. 9:48 In the study, it found an increased ejection fraction, the heart contractility. 9:53 by nearly 40% and it reduced the infarct size by about 82% through direct cardiac contractility and coronary vasor relaxation. 10:01 I want you to hear that clearly. 10:03 A compound your gut produces when you eat beans and whole grains have measurable effects on heart muscle function and heart attack damage. 10:11 That's not digestion, that is a gut heart signal. 10:14 Fiber has also been shown to affect the rhythm control. 10:17 So there was a 2022 study that found that short-chain fatty acids that are derived from dietary fiber fermentation, they helped alleviate atrial fibrillation 10:26 development through a signaling pathway, reducing atrium remodeling fibrosis and calcium handling abnormalities in that model. 10:33 That means fiber may actually help the heart through pathway completely different than your standard antiarrhythmic drug. 10:39 So here's the thing, plant foods may also help by shifting the gut metabolite balance away from risk. 10:44 There was another prospective study and in people with a high enterolactone, and low TMAO profile.
Meat, Diabetes, and My Father's Story 10:50 Now this is a signature link with more whole foods, whole grains, and fiber, less red meat. 10:55 They had significantly lower risk of coronary artery disease. 10:58 Enterolactone, by the way, that's the compound your gut produces when you eat those whole-grains and seeds. 11:03 And remember, T-MA-O, the molecule that changes the plaque biology and clotting biology. 11:09 The dietary pattern that lowered TmaO also lowered coronal artery diseases risk. 11:14 Those loops are not coincidences. 11:15 They're the same story told from different angles. 11:18 And some plant compounds, they appear to activate the body's own defense systems directly. 11:23 There's one sulforaphane. 11:24 This is found in cruciferous vegetables, you know, like broccoli and kale. 11:28 It activates the NRF2, a major protective pathway in the bottom. 11:32 I need to be honest here as well, as I was earlier, this particular research is still in an early stage model, but it adds to the pattern. 11:40 Plants do not just remove something harmful, They generate compounds and signals that work with the cardiovascular system instead of constantly stressing it. 11:48 What do you want? 11:49 That's what you have to ask yourself. 11:50 So this is bigger than plants have less saturated fat. 11:53 Much bigger. 11:54 Whole plant foods, they may improve the chemistry around the artery wall. 11:58 They may improved cholesterol handling, blood pressure, endothelial function, inflammatory signaling, microbiome metabolites, 12:04 and may even stabilize the rhythm, all at the same time. 12:07 That's why I don't frame plant-based eating as deprivation. 12:10 I frame it as biological leverage.I frame as reducing your risk. 12:14 You're not just avoiding damage, you're activating protection. 12:18 Now, somebody's thinking, okay doc, but what about chicken? 12:21 What about turkey?What about lean meat? 12:23 Fair question. 12:23 When we look at The Lidger, not Every animal food carries the exact same level of risk. 12:28 Processed meat clearly is the worst actor. 12:30 Red meat? 12:31 Yeah, it's right behind it. 12:32 It's strongly associated with harm. 12:34 More harm than unprocessed poultry in many datasets. 12:37 But here's where I landed personally. 12:39 I was not asking what is a least harmful version. 12:42 I can get away with. 12:43 I was asking, what does it take to get an A? 12:45 What does take it to develop an eating pattern that best aligns with vascular protection? 12:50 That's a different question. 12:51 And when I look through the science, through that lens, whole plant foods kept rising to the top. 12:56 Now, if I'm being honest with you, this didn't start just with my patients. 12:59 It actually started with So my dad had diabetes his entire life. 13:03 And when I became a cardiologist and I finally had the training, the tools, to procedure the knowledge, I found I thought I could help him. 13:09 I though I can finally do something to help change his course. 13:13 Now what I watched and said was his health declined steadily despite the medications, despite procedures, Despite everything I had been trained to do and 13:21 did everything that I was trained. 13:23 It wasn't enough. 13:24 When my Dad passed I did what most Docs do. 13:27 at least when they lose someone they love, and medicine doesn't quite save them. 13:30 I went searching. 13:31 Not just in a textbook, not just clinical guidelines, I was searching for what else could have been available to treat him. 13:38 What did I miss? 13:39 And what I found changed everything. 13:41 Study after study, it showed that nutrition, real, whole food nutrition had effects on diabetes and cardiovascular disease that pills and procedures I 13:49 relied on could not fully replicate. 13:51 Not because the medicine was wrong, but because we had been treating the fire without ever asking what was fueling it. 13:57 And my dad, he deserved that question. 13:59 He deserved a doc, even his own son, who knew to ask it." Now that loss is part of why I'm here, right? 14:04 It's part why this channel exists. 14:06 Part of I will not stop saying this until every person who needs to hear it finally does. 14:10 Here's something I found in that search that I need you to here. 14:13 That same biological pattern I see driving heart disease, the oxidative stress, inflammatory signaling, AGE stiffening tissue, 14:21 those same patterns show up in the science on insulin resistance and beta cell damage associated with diabetes. 14:27 Heme iron, iron in red meat, doesn't just deplete your nitric oxide in your arteries. 14:31 It generates oxidated stress that damages the very cells your pancreas needs to produce insulin.
How to Start Replacing Meat Meals 14:37 They, geez, those compounds formed when meat cooks at high heat, they don't just stiffen the artery wall. 14:42 They impair insulin synthesis by breaking down the proteins your beta cells need to do their job. 14:48 And there's one more of the research documents that most people never hear. 14:51 Branched chain amino acids, the ones concentrated in animal protein, when chronically elevated, activate a signaling pathway called mTORC1. 15:00 And mTORC1, when it stays on too long, it starts to degrade insulin signaling itself. 15:05 Now here's the part that really stopped me. 15:06 The people most at risk, the ones already carrying metabolic stress, are also the least able to clear these signals. 15:13 They body becomes less able protect itself at exactly the moment it needs protection the most. 15:18 This is what happened to my dad. 15:20 A package that stresses the artery wall is often the same package stressing the pancreas. 15:25 I just didn't know to make that connection until it was too late to help him. 15:29 Now at some point, this stopped being abstract for me because I had seen too many patients come back. 15:33 A stint in one artery, then disease pops up in another vessel, a bypass, and then progression later with bypass grafts closing. 15:40 Technically successful procedures, but the underlying disease process kept moving, kept progressing. 15:46 And then I have to look at my own self, my arteries, endothelium, microbiome, diabetes risk, plate. 15:53 And I realized I was asking patients to take their health seriously while I Was still negotiating with what I knew that was ultimately not acceptable to me. 16:01 So I changed not overnight, not perfectly, but directionally. 16:05 And that matters because a lot of people watching think the only options are all in. 16:10 or not at all. 16:10 That's not true. 16:11 Every small amount of direction you make in the right way for eating, it matters. 16:16 Direction matters, so here's the simplest place to start. 16:19 Don't start with perfection. 16:20 Start with substitution. 16:21 Swap one meat-centered meal each day or maybe even each week for a plant- centered one. 16:26 swap processed breakfast meat for oats and fruit and nuts or even tofu. 16:32 for chili made with beans, lentils, and mushrooms. 16:35 Swap a meat heavy plate for a plate where plants become the center and the animal foods stop being the star. 16:41 Because when the centre changes, the biology changes. 16:44 And when a biology change,s the future changes I became a cardiologist to save lives and yes, procedures matter. 16:50 That's why I still do them. 16:51 But the most powerful intervention I have ever seen is a person who changes what they eat. 16:56 Not because they were told to, but because the finally understood why. 17:00 and that is what I wanted to give you today. 17:02 I went plant-based because I got tired of treating the explosion while ignoring the spark. 17:06 I want more flow. 17:07 How about you? 17:27 The goal has never been just to treat the event. 17:29 It's been to change the terrain that made the even possible. 17:33 All right, I need you to remember, if you wanna go fast, go alone. 17:36 If you want to go far, goal together. 17:38 Let's go together, building healthier hearts and stronger communities. 17:41 I just like it, share it. 17:42 Send it save a life. 17:44 See you next time.
Comments