#405: Heart Attacks Aren't What You Think | The Plaque LIE That Changes Everything (Cardiology 2.0) With Dr. Sanjay Bhojraj
Today, I'm joined by the deeply thoughtful and refreshingly honest Dr. Sanjay Bhojraj, a self-described "curious cardiologist" who spent decades treating heart attacks in the cath lab — before stepping away to ask a bigger question: Why are we waiting for the crisis instead of preventing it?
Episode Timestamps:
Welcome to Longevity & episode setup … 00:00:00
Dr. Bhojraj's shift from ER cardiology to prevention … 00:06:30
Why most heart attacks aren't caused by big blockages … 00:09:15
Stress, nervous system load & heart attack risk … 00:13:10
CIMT explained: what it measures (and what it misses) … 00:26:40
Calcium scores vs CT angiograms … 00:35:45
CLEERLY scan: seeing dangerous soft plaque … 00:38:45
Can plaque actually regress? … 00:41:55
When heart scans make patients less afraid … 00:44:05
When should you test — even without symptoms? … 00:45:50
Why age 45 is a major cardiovascular inflection point … 00:47:10
Hormones, estrogen loss & women's heart risk … 00:50:10
Why cardiology still misunderstands women … 00:54:30
Small dense LDL, ApoB & oxidized cholesterol … 01:02:00
Why fixing inflammation matters more than numbers … 01:05:50
Our Amazing Sponsors:
Regenerive - Built around clinically validated Longufera (Ash X4) to support core aging pathways—so it's not just "healthy aging" in theory. Go to regenerive.co and use code NAT25 to save 25%
Mitopure® Longevity Gummies are the only clinically proven Urolithin A gummies supporting mitochondrial health — one of the key hallmarks of aging. Get 35% off a one-month subscription at Timeline.com/Nat2026 *Special deal through January 2026.
PW1 by Puori — A clean, high-quality whey protein that's third-party tested for over 200 contaminants and smooth enough to feel like a treat while supporting muscle, metabolism, and bone strength. Go to puori.com/NAT and use code NAT for 32% off your first subscription or 20% off anything on the site.
Nat's Links:
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Today, I'm joined by the deeply thoughtful and refreshingly honest Dr. Sanjay Bhojraj, a self-described "curious cardiologist" who spent decades treating heart attacks in the cath lab — before stepping away to ask a bigger question: Why are we waiting for the crisis instead of preventing it?
Episode Timestamps:
Welcome to Longevity & episode setup … 00:00:00
Dr. Bhojraj's shift from ER cardiology to prevention … 00:06:30
Why most heart attacks aren't caused by big blockages … 00:09:15
Stress, nervous system load & heart attack risk … 00:13:10
CIMT explained: what it measures (and what it misses) … 00:26:40
Calcium scores vs CT angiograms … 00:35:45
CLEERLY scan: seeing dangerous soft plaque … 00:38:45
Can plaque actually regress? … 00:41:55
When heart scans make patients less afraid … 00:44:05
When should you test — even without symptoms? … 00:45:50
Why age 45 is a major cardiovascular inflection point … 00:47:10
Hormones, estrogen loss & women's heart risk … 00:50:10
Why cardiology still misunderstands women … 00:54:30
Small dense LDL, ApoB & oxidized cholesterol … 01:02:00
Why fixing inflammation matters more than numbers … 01:05:50
Our Amazing Sponsors:
Regenerive - Built around clinically validated Longufera (Ash X4) to support core aging pathways—so it's not just "healthy aging" in theory. Go to regenerive.co and use code NAT25 to save 25%
Mitopure® Longevity Gummies are the only clinically proven Urolithin A gummies supporting mitochondrial health — one of the key hallmarks of aging. Get 35% off a one-month subscription at Timeline.com/Nat2026 *Special deal through January 2026.
PW1 by Puori — A clean, high-quality whey protein that's third-party tested for over 200 contaminants and smooth enough to feel like a treat while supporting muscle, metabolism, and bone strength. Go to puori.com/NAT and use code NAT for 32% off your first subscription or 20% off anything on the site.
Nat's Links:
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