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I have so many of my friends that just literally have everything except their health and I just don't want that. You
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know, there's a limited amount of time. I'm not trying to live forever. I'm just
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trying to live well. So, this week I'm going to explore some questions that I have about my health and I suspect that
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many people out there have about theirs. That's great so far. My father lived a really unhealthy life.
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He struggled with alcoholism for decades. He was diabetic. He had heart issues. And in the end, he died of a
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cardiac arrest. We were expecting his death, but he still left my mom, my siblings, and me, honestly, to pick up
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the pieces. When my friend Dave died of a heart attack, I wasn't expecting it. To me, he
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seemed perfectly healthy and that was my real wakeup call. We were in Mexico and he had a heart
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attack and it was a real tragedy to be totally honest. But on the heels of that, his wife asked his four best
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friends just to like really try to, you know, take care of ourselves better and specifically to start going and seeing a
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cardiologist. Hey, welcome back. Thanks. It's great to see you. It's great to see you online on X, we
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saw some uh interest about statins. So, Dr. Carlsburg, he is the best interventional cardiologist in the
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United States. When he discovered some plaque in my arteries, he put me on statins. They're
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supposed to lower bad LDL cholesterol, reduce the risk of heart attack, and stabilize plaque. But to some they are
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controversial. Well, you posted basically trying to do something um for cardiac health across all of
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America and you tagged me and Bobby, but the amount of commentary in Twitter or in X rather was all about the whether or
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not I should be on a statin and whether or not it was just completely um pseudocience. Look, what I've learned in
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my career is I could talk about anything. I could say the sky is blue and there will be opinions that say it's
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not. So, to be honest with you, I kind of ignored most of it except to say that the few people who are very thoughtful
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in there brought up, I thought, a very legitimate question. A lot of my followers feel like statins might help
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them in some areas, but also hurt them in others. That's one of the reasons why I've been coming to Dr. Carlsburg so
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regularly to help me figure all of this out. What's the most difficult part of doing all this testing, would you say?
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To be honest with you, it's the cognitive load before you start it because I think there's so many
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incentives. There's little voices inside of many people's heads that says don't even start because of what you could
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find. And I do this test every four or five years called a CT angagram with contrast. It's basically a way of
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injecting a die into your veins and then imaging your heart so that you can see all the arteries.
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Breathe in. Hold your breath. What it's also able to do now is image it in such a way where you can take that
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corpus of data and send it into a machine learning model and then now you can start to extract an even more
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detailed sense of what's happening. That young lady is a perfect study. Absolutely beautiful.
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I mean it's weird when the contrast goes in your body. Yeah. Um I've had it done a couple times
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before obviously but I really I forget each time. The heart is important, but it's only
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part of the story. If you want a more complete sense of your overall health, you really need a prenal scan.
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Good morning. Hi, how are you? Good. How are you? Good, thanks. So, I reached out to
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Chimath when we had just opened a clinic in Silicon Valley during CO and I thought I knew he was a bit of a hacker,
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a biohacker, and I really wanted him to experience what we were doing. He was nice enough to come in. We developed the
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friendship and he's been in for several scans. Click. You accept right there. In the 5 years since I met Chamath,
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we've now imaged about 150,000 people. We've saved or made about 4,000 life-saving diagnosis. And every day we
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get stories from folks where we might have saved their life or gave them clarity or delivered peace of mind. So,
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it's really great to be building a company and at the same time having positive impact.
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Okay, let's do it. So what makes us unique compared to others is we operate our own customuilt
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research grade MRI hardware. We have AI that enables us to enhance image quality. And then we have this
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incredible team of radiologists and medical professionals now over 100 that deliver a tremendous stand of care for
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our patients. So I just did a full body advanced MRI scan. Took like an hour and 15 minutes.
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But it really didn't feel that way cuz I just was lying in the machine watching Netflix. So, it's actually like a really
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it's really great actually. Okay. Yeah. So, we just got in the car. We are uh headed to Toronto Tech Week.
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Our first stop is at the Shopify headquarters for a fireside chat with my friend Farhan Thoir.
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Good. How is the AI? [Music] What's up? Being on stage is something I like because it allows me to tell people what
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I think is going on right now and what will go on. I hate to say it this way, but like the
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more success that you can have, the easier it is to detach yourself from real life. And then you start to miss
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out on people. And if enough people, you know, find that truth credible, some subset of
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those people will self- select and say, "Hey, I want to work with you on this." And then I, you know, feed them into
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those businesses. It's a great opportunity for them. But it's also how we get one step closer to achieving our
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dreams. Now, we're going to jump in the car and uh go to the 8090 office and have lunch.
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Yeah. Just trying to say hi. Good to see you again. Good to see you. Okay, let's talk because I don't want to
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run out of time. So, what do we have till 3:00? What I found is that early on, especially when you're trying to do
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something extremely ambitious like the 8090 team is trying to do, the biggest problem is drift. Meaning, you just kind
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of drift away. Everybody just drifts away. they lose an understanding and I think the responsibility of the
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CEO in that early phase when you're in a build cycle is to minimize the drift. The way that I think a good CEO can do
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that is just reminding people of what they're there to do. And so, you know, in Toronto is just a chance to just take
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everybody and sit them down, whiteboard something, just talk to them so that they could feel a sense of what was
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happening. It's one thing to hear it on a Zoom or see it in slides, but it's another to just be in the room and feel
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that connection. Super excited. Thank you guys. Okay, so what's the plan today? We're
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going to go and get a little readout of the pre-nuvo scan. Um, and hopefully everything is, you know, relatively
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straightforward there. These health tests may seem a bit like overkill, but I feel strongly that people need to
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advocate for their health and ask a lot of questions. What we know is that you lose about 3%
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of your brain volume every decade on average. Is that right? Yeah. And so the question is, how do you
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compare? Honestly, my stomach fell a little bit when Andrew mentioned brain volume loss
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because I knew the FDA label on statins warns about memory loss. All right, Sean, over to you. Tell me
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the good news or the bad news. So, um, this is the enhanced scan now. And so, what what we're looking at here is just
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blood flow throughout all the, uh, higher functioning brain tissue. And this is all very symmetric and normal.
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Um, well, I think what Dr. London is saying is you're on a normal curve here. Suck it, people. All the all the haters
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out there. Nothing worrisome, no change when it comes to my brain. I'm really relieved.
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But something that did confound me is that I have some muscle loss, which is concerning. This is the main thing I
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wanted you to to focus on and to highlight was the muscle the muscle mass because we know how important
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maintaining muscle mass is particularly for you know brain health too over time and it's harder to maintain as we get
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older. Plus the internet internet thinks that I don't work out that I should be doing
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more leg day. So this is going to really feed the whole conspiracy. I mean take everything with a grain of
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salt too. You know like they're going to love it. I mean it it's not like a a terribly
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concerning decrease. Yeah, it was just it was just more notable than the than the other uh fluctuations.
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But the trolls are going to love it. Like I told you, you don't work out your legs.
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It's not true, guys. I'm just tall. I mean, every time I come, it just gets a You're doing a better and better job
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building this thing. It's so great. I love being a guinea pig for stuff like this.
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Yeah. And it's been really valuable for me. The next like 10, 11, 12 years. I really
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want to make sure I pack as much muscle as possible. Insulate myself going into my 60s and
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70s. Seems like the right goal. Thank you. Thank you very much. Thanks for visiting.
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Great to see you. Yeah. Now it's time to check back in with Dr. Carlsburg and face the music on my
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heart. Welcome back. Thank you. Good to see you. Uh you had a really busy day yesterday,
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didn't you? Busy day, but a good day. What I'm going to do now is present something that's quite astonishing. You
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have a zero calcium score and you still have a zero calcium score. Let's get out of here.
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Not so fast. We see that over the 10 years you had a 370% increase in that material, which means
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that you are on a pathway to atheroscerosis, but you're one of the few peoples on the
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planet that have this kind of information and you're going to take advantage of it. And so what we're looking at here
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was a percent change that went from total plaque volume fell from 24% a year to 10% a year, which is consistent with
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what we found in much bigger studies. Now, given the first level of tears, which is listen to your audience and
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come off the drugs because they're dangerous, or stay on the drugs, the first level of decision on your part
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based on what you heard is going to be what? Obviously, we're going to stay on the
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drug. So, okay, that's your decision. Yeah. Okay. I think what I'm hearing from you is
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we started this statin a decade ago. It seems to have had a pretty meaningful impact. we
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in all of these other things that we never would have known to look for had this stuff not existed.
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Exactly. So, what I'm learning from you actually is a big deal. You've done some good
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stuff and that was actually pretty preventative and good, but there's now an even better leading edge for you
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because you're fighting against a genetic trend that will eventually catch up with you.
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It that's a secret. That's fantastic. I want to know the secret. I want to know the answer. Now,
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there are no standard treatments for you. I think that you could choose to wait. Your calcium score is zero. Your
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outcome is going to be fine for the next 5, 10 years. Chances of you having a cardiac event are very, very close to
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zero. No risk of a cardiac event in the next five years. Hopefully 10. Uh that's my prediction. All right.
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You're doing a great service. Thank you. Thank you. See you soon. Have a great summer.
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Byebye. You know, if there's one thing I've learned through this process, it's that
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there's no finish line. Honestly, optimal health isn't a destination. It's a journey. But at the end of the day, we
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all face the same choice. Do we wait until something breaks or do we start listening now? Starting the health
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journey can be scary. But in my opinion, I think it's worth it because living well is the best return there is.
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Well, we're home. It's been a long week. I hope you enjoy following me around, but now it's time to get the out of
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here.