Uploaded March 2026 | Updated September 2026, 1 day ago
The proven way to prevent heart attacks and strokes based on science, with Dr. Tom Cowan. Head to DrinkLMNT.com/theprimalpodcast to get your free sample pack with any purchase.
Is it possible that "clogged arteries" and high cholesterol aren't the primary causes of heart attacks? In this episode, Dr. Tom Cowan (MD) joins us to challenge the 80-year-old Thrombogenic Theory and break down the clinical reality of cardiovascular health. Drawing from his experience overseeing more than 100,000 patient cases, Dr. Cowan explains why traditional cardiology’s focus on LDL and plaque often misses the true physiological triggers of heart disease. From the power of collateral circulation to the impact of metabolic acidosis on heart tissue, this episode provides the medical clarity needed to look past the "clogged pipe" model and understand how the heart actually functions. Whether you are tracking your own markers or are a healthcare professional seeking root-cause insights, this conversation bridges the gap between historical medical literature and modern clinical reality.
In This Episode, We Reveal:
* The Flaws of Thrombogenic Theory: A historical and scientific review of why coronary blockages do not always correlate with myocardial infarction.
* Collateral Circulation: How the heart’s innate "backup system" protects against acute ischemia, and why it's often ignored in standard diagnostics.
* The Biological Role of Cholesterol: Moving beyond the "good vs. bad" narrative to understand cholesterol’s essential function in cellular repair and steroid hormone synthesis.
* The Myogenic vs. Thrombogenic Model: Shifting the focus from the arteries to the health of the myocardial cells and the autonomic nervous system.
* The Role of Inflammation & Stress: Identifying the metabolic and environmental stressors that actually trigger cardiac events.
* Falsifiability in Medicine: How to apply the scientific method to common medical claims to discern clinical truth from dogma.
Scientific Resources & Dr. Cowan’s Work:
* Medical Text: Human Heart, Cosmic Heart by Dr. Tom Cowan amazon.ca/s?k=Dr.+Thomas+Cowan&geniuslink=true&tag=ultimatehe004-20
* Clinical Research & Website: drtomcowan.com
* The Fourth Phase of Water: Beyond Solid, Liquid, and Vapor: amzn.to/4sU6Qbl
Timestamps:
00:00 Intro
01:30 Does Cholesterol Actually Cause Heart Attacks?
05:00 The Autopsy Studies They Don't Talk About
09:08 Why a 95% Blockage Doesn't Mean What You Think
12:19 Stents Are a $50 Billion Scam?
15:32 If Blockages Don't Cause Heart Attacks, What Does Plaque Do?
19:00 The Dangerous Truth About Statin Drugs
22:36 Heart Attacks Are an Energy Problem, Not a Plumbing Problem
28:17 The Fourth Phase of Water That Keeps You Alive
34:00 Why Your Cell Phone May Be Hurting Your Heart
38:11 The Only Diet Rule You Need to Follow
42:10 Bacon, Butter, and Cream: What 1920s Heart Health Looked Like
46:01 The Heart Is Not a Pump
50:00 How Blood Actually Moves Through Your Body
57:00 The Vortex Where Energy Enters the Heart
58:16 Why Heart Medications May Make Things Worse
01:00:18 Practical Steps to Protect Your Heart
Primal Resources:
* Primal Tallow Balms & Soaps: shop.theprimal.com
* GoCarnivore App: gocarnivore.com
Connect With Us:
* Website: theprimal.com
* Instagram: @theprimal.podcast
* Twitter/X: @ThePrimal_Pod
About Rina Ahluwalia & The Primal Podcast: Rina Ahluwalia is a leading researcher in root-cause healing and the founder of GoCarnivore.com. She facilitates high-level clinical discussions with world-renowned MDs and researchers to deconstruct the pathophysiology of modern disease and promote the science of the Proper Human Diet.
The proven way to prevent heart attacks and strokes based on science, with Dr. Tom Cowan. Head to DrinkLMNT.com/theprimalpodcast to get your free sample pack with any purchase.
Is it possible that "clogged arteries" and high cholesterol aren't the primary causes of heart attacks? In this episode, Dr. Tom Cowan (MD) joins us to challenge the 80-year-old Thrombogenic Theory and break down the clinical reality of cardiovascular health. Drawing from his experience overseeing more than 100,000 patient cases, Dr. Cowan explains why traditional cardiology’s focus on LDL and plaque often misses the true physiological triggers of heart disease. From the power of collateral circulation to the impact of metabolic acidosis on heart tissue, this episode provides the medical clarity needed to look past the "clogged pipe" model and understand how the heart actually functions. Whether you are tracking your own markers or are a healthcare professional seeking root-cause insights, this conversation bridges the gap between historical medical literature and modern clinical reality.
In This Episode, We Reveal:
* The Flaws of Thrombogenic Theory: A historical and scientific review of why coronary blockages do not always correlate with myocardial infarction.
* Collateral Circulation: How the heart’s innate "backup system" protects against acute ischemia, and why it's often ignored in standard diagnostics.
* The Biological Role of Cholesterol: Moving beyond the "good vs. bad" narrative to understand cholesterol’s essential function in cellular repair and steroid hormone synthesis.
* The Myogenic vs. Thrombogenic Model: Shifting the focus from the arteries to the health of the myocardial cells and the autonomic nervous system.
* The Role of Inflammation & Stress: Identifying the metabolic and environmental stressors that actually trigger cardiac events.
* Falsifiability in Medicine: How to apply the scientific method to common medical claims to discern clinical truth from dogma.
Scientific Resources & Dr. Cowan’s Work:
* Medical Text: Human Heart, Cosmic Heart by Dr. Tom Cowan amazon.ca/s?k=Dr.+Thomas+Cowan&geniuslink=true&tag=ultimatehe004-20
* Clinical Research & Website: drtomcowan.com
* The Fourth Phase of Water: Beyond Solid, Liquid, and Vapor: amzn.to/4sU6Qbl
Timestamps:
00:00 Intro
01:30 Does Cholesterol Actually Cause Heart Attacks?
05:00 The Autopsy Studies They Don't Talk About
09:08 Why a 95% Blockage Doesn't Mean What You Think
12:19 Stents Are a $50 Billion Scam?
15:32 If Blockages Don't Cause Heart Attacks, What Does Plaque Do?
19:00 The Dangerous Truth About Statin Drugs
22:36 Heart Attacks Are an Energy Problem, Not a Plumbing Problem
28:17 The Fourth Phase of Water That Keeps You Alive
34:00 Why Your Cell Phone May Be Hurting Your Heart
38:11 The Only Diet Rule You Need to Follow
42:10 Bacon, Butter, and Cream: What 1920s Heart Health Looked Like
46:01 The Heart Is Not a Pump
50:00 How Blood Actually Moves Through Your Body
57:00 The Vortex Where Energy Enters the Heart
58:16 Why Heart Medications May Make Things Worse
01:00:18 Practical Steps to Protect Your Heart
Primal Resources:
* Primal Tallow Balms & Soaps: shop.theprimal.com
* GoCarnivore App: gocarnivore.com
Connect With Us:
* Website: theprimal.com
* Instagram: @theprimal.podcast
* Twitter/X: @ThePrimal_Pod
About Rina Ahluwalia & The Primal Podcast: Rina Ahluwalia is a leading researcher in root-cause healing and the founder of GoCarnivore.com. She facilitates high-level clinical discussions with world-renowned MDs and researchers to deconstruct the pathophysiology of modern disease and promote the science of the Proper Human Diet.
![Neuroscientist: #1 Way To Lose Weight & Double Autophagy [EAT THIS]](https://i.ytimg.com/vi/hzU7mLn6A1A/mqdefault.jpg "Neuroscientist: #1 Way To Lose Weight & Double Autophagy [EAT THIS]
The science-backed protocol to double autophagy and lose weight using sardine fasting, with Dr. Dom D’Agostino. Try ARMRA Colostrum for yourself, go to https://armra.com/theprimalpodcast or enter code THEPRIMALPODCAST to get 15% off your first order.
Is there a single metabolic switch that can accelerate weight loss while repairing your cells? In this episode, world-renowned metabolic researcher Dr. Dom D’Agostino (PhD) joins us to explain the science of autophagy, ketosis, and the gut microbiome. Referencing decades of laboratory research and clinical observation, Dr. D’Agostino explains why the traditional calories in, calories out model fails to account for cellular signaling and nutrient density. From the specific biochemical benefits of sardine fasting to the role of ketones in preserving gut barrier integrity, this conversation provides the medical clarity needed to optimize your biology. Whether you are looking to reverse metabolic dysfunction or seeking the latest data on nutritional ketosis, this episode bridges the gap between science and practical human experience.
In This Episode, We Reveal:
* The Autophagy Switch: A scientific breakdown of how to double cellular cleanup and the specific dietary triggers that initiate protein recycling.
* The Sardine Fasting Protocol: Why this specific high-protein, high-omega-3 approach is a clinical powerhouse for metabolic health and rapid ketosis.
* Ketosis & Disease Prevention: Moving beyond the scale to understand how ketones function as signaling molecules for longevity and neuroprotection.
* Gut Barrier Integrity: The relationship between the microbiome and metabolic health, and why maintaining the gut lining is the first line of defense against systemic inflammation.
* Translating Research to Reality: How to apply cutting-edge metabolic data to daily life for sustainable weight loss and disease prevention.
Our Sponsor:
ARMRA: Try ARMRA Colostrum for yourself, go to armra.com/theprimalpodcast or enter code THEPRIMALPODCAST to get 15% off your first order. These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
MeatStock: Get $100 off every ticket, that’s a 25% discount, exclusively at https://www.theprimal.com/meatstock-2026-tickets
Scientific Resources & Dr. D’Agostino’s Work:
* Journal Article: Ketogenic Diet and Metabolic Health (Springer): https://link.springer.com/article/10.1186/s12916-024-03775-4
* Clinical Research: Metabolic Switching and Health (PubMed): https://pubmed.ncbi.nlm.nih.gov/37057184/
* Historical Context: Nutritional Ketosis in Medicine (PubMed): https://pubmed.ncbi.nlm.nih.gov/41562187/
* Dr. DAgostino’s Website & Research: https://ketonutrition.org/
Timestamps:
00:00 – Intro
02:11 – The One Biomarker That Rules Them All
04:27 – What Is Sardine Fasting?
12:05 – His Body Changed In 3 Days
15:39 – Does Sardine Fasting Target Visceral Fat?
16:33 – His Insulin Was Flagged As Too Low
18:25 – The Cholesterol Debate On Keto
21:42 – Bone Health On A Ketogenic Diet
25:13 – Which Sardines To Buy And How Often
28:14 – The 3-Day Monthly Reset
31:45 – What Ketosis Does To Your Gut
34:34 – Can Ketones Protect Your Brain?
37:46 – The Powerlifter Who Was Told Hed Die
44:44 – Ketones And The Longevity Pathways
50:10 – The Blood Marker More Important Than LDL
55:36 – Does MCT Oil Actually Boost Ketones?
59:37 – Five Foods A Neuroscientist Eats Daily
01:09:43 – The One Keto Food Quietly Killing Your Results
Primal Resources:
* Primal Tallow Balms & Soaps: https://shop.theprimal.com/
* GoCarnivore App: https://www.gocarnivore.com/
Connect With Us:
* Website: https://www.theprimal.com/
* Instagram: @theprimal.podcast
* Twitter/X: @ThePrimal_Pod
About Rina Ahluwalia & The Primal Podcast: Rina Ahluwalia is a leading researcher in root-cause healing and the founder of GoCarnivore.com. She facilitates high-level clinical discussions with world-renowned MDs and researchers to deconstruct the pathophysiology of modern disease and promote the science of the Proper Human Diet.
Medical Disclaimer Note: The content provided in this video and description is for educational and informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have heard on this channel.")
