Humble – An Inspirational Story

Humble – An Inspirational Story

This story was sent to me via a friend. I thought it was so good that I wanted to share it with all of you. I hope your summer was blessed with wonderful memories.

Enjoy!

 When Henry Ford asked for the cheapest hotel in town… people were stunned.
He had just landed in England — already a billionaire, already one of the most recognized names in the world. But instead of luxury, he walked up to the airport information desk and asked, simply:

“Where’s the cheapest place to stay?” The clerk hesitated. Worn coat. Modest bag. Calm voice. Then he realized who was standing in front of him.

Henry Ford. The man whose name was in every newspaper. The face behind an empire.“Sir… aren’t you Mr. Ford?” he asked, still processing.

Ford nodded. “Yes, I am.”

 Still puzzled, the clerk continued: “I know your son always stays in the best hotels, wears the finest suits. But you—you’re asking for the cheapest room, in an old coat that looks older than you…Why?”

 Ford smiled. Just enough to say everything without saying too much. “Because I don’t need more than a place to sleep. Wherever I stay — I’m still Henry Ford And this coat? It belonged to my father. It keeps me warm. That’s enough.”

 He paused. Then added, quietly: “My son is still learning. He still worries what others think. But I’ve learned to stop paying for approval. I didn’t become wealthy by spending — I became wealthy by understanding what matters, and what doesn’t.”

 A quiet lesson wrapped in humility: True wealth isn’t in what you show — it’s in what you know. You are not your coat, your hotel, or your bank account. You are who you are, wherever you go.

On A Personal Note:
I read this story to my family and most especially my grandchildren after a day of wrangling young children. A silence fell across the room as they loved the story but more importantly learned the lesson.

 Blessed are the meek, for they shall inherit the earth (Matthew 5:5).

Refences:
David Attenborough, “Henry Ford’s Humble Approach to Wealth and Success as Summarized by AI,” Facebook (May 8, 2015). https://www.facebook.com/groups/davidattenboroughfanss/permalink/4128920884045721/

 Be strong and courageous. Do not be frightened, and do not be dismayed, for the Lord your God is with you wherever you go (Joshua 1:9).

I’m a Christian nurse who helps people navigate the murky waters of healthcare
References:

Author of Wake UP Call 911: It’s Time to Reduce your Risk for A Heart Attack and Stroke (2015) and Helping the Hurting: Nursing Ministry in the Body of Christ (2022).

You may visit my website for additional information: jenniejohnsonrn.com

All rights reserved 2025, Jennie E. Johnson, RN-BC, PhD

Paperback copies of both books for sale. Email me for details at:  ask@jenniejohnsonrn.com.

Fasting Diets

Fasting Diets

In the past 60 years obesity rates in the US have tripled from 13% in the 1960’s to 43% today. Nearly 70% of Americans are either overweight or obese. Struggling with excess weight is a daunting reality for far too many Americans. Fasting diets have arisen as a possible solution. The question remains: are they helpful in the long run or harmful?

Intermittent Fasting
Alternating episodes of eating and fasting describe the pattern of intermittent fasting (IF). The Leangains Protocol also known as the 16/8 Method is the one most used. Participants fast for 16 hours and eat for 8. Two meals a day are recommended while bingeing is discouraged. Breakfast is the meal most often skipped.

The Eat-Stop-Eat Method involves a 24 hour fast twice a week. While the 5:2 Diet reduces calories to <500 to 600 on 2 days a week.

3 Day Water Fast
Perhaps the most challenging is the 3 Day Water Fast where primarily only water is consumed. In the first 24 hours the glycogen or sugar stored in the liver and muscles is burned for energy. After 24 hours fat is broken down for energy producing ketones as a byproduct. The ketones in the blood create an acidotic state that over time may change gut bacteria, reduce bone health, damage kidneys and lead to increased risk for cancer and other diseases. Keto Flu symptoms include headaches, brain fog and fatigue.

Benefits of Fasting
A review study was done between 2000 and 2019 examining 27 small studies. Most of the study groups had <50 participants and lasted only between 2 and 26 weeks. Validity is required for much larger numbers and a longer length of time. However, it did indicate that there may be a benefit for some intermittent fasting but much more research is needed to better understand the benefits and harms. Some promising benefits include:

Autophagy may occur after prolonged fasting that begins to repair and renew cells. It may play a role in cancer prevention.

Reduced risk factors for heart disease by lowering blood pressure and improving abnormal cholesterol numbers.

Improved insulin effectiveness and glycemic or glucose metabolism.

Enhanced leptin an appetite suppressant which helps one feel full.

Weight loss

Dangers of Fasting
Obviously the longer the fast, the greater the risk of adverse consequences. The 3 Day Water Fast is the most dangerous for a variety of reasons but everyone should use caution and speak with a healthcare provider before engaging in any fasting eating pattern. The harms may include:

–Dangerous Hypoglycemia (low blood sugar): Severe calorie restrictions play havoc with diabetic medications and MUST NOT be attempted without a healthcare provider’s supervision!

Electrolyte Imbalances: Too much water flushes sodium out with the excess water recommended during the fast. Hyponatremia (low sodium) is a dangerous deadly condition that may result.

Gout Eruption: Anyone with a history of gout should also speak with a healthcare provider as severe dehydration and calorie restriction enhances uric acid formation.

Orthostatic Hypotension: Low blood pressure may occur when standing suddenly.

Nutritional Deficits: Lack of a variety of food depletes key vitamins and minerals needed to enhance immunity and body functions.

Muscle Loss: In general, the greater the muscle size, the higher the metabolism. Longer term fasting results in muscle loss.

Dehydration:  Food provides 20% to 30% of daily water hydration and is depleted when fasting.

Psychological Complications: Exacerbation of eating disorders, discouragement and despair when the weight returns.

Refeeding Syndrome
This problem occurs if too much food is consumed following fasting, especially after a 3 Day water fast. During the fast key nutrients have been depleted and the body adjusted to the starvation state. Adding too much food too fast may induce severe electrolyte abnormalities that alter the function of the heart, lungs, brain and kidneys. It induces a myriad of serious potentially lethal complications. Again, working with a healthcare provider is the safest approach to prevent this potentially lethal complication.

 

What Does Work?
I’ve counseled many people on proper weight management that is maintained over time. The following recommendations have been the most helpful for continued success.

The Mediterranean Diet: This eating plan remains the most effective and best tasting strategy for people across the world.

Set Up your Environment for Success: Remove those foods that lead to binge eating. If it’s not good for you it’s not good for your children either. Brian Wansink’s book Mindless Eating describes those unconscious mistakes that sabotage the best of intentions.

Don’t Drink your Calories: Sweetened coffee, alcoholic beverages and sodas are killers.

Increase Protein in your Diet: Protein throughout the day helps stabilize blood sugar levels and reduce cravings.

Reduce your Portion Sizes.

Eat a Variety of Fruits and Vegetables.

Increase your Muscle Mass: Bigger muscles increase metabolism while at rest as you burn extra calories.

Go for a walk, get a good night’s sleep and destress your life.

On A Personal Note:
I’ve maintained a healthy weight all my life. I enjoy the food I love in smaller portions, have added more protein to my diet, and working on increasing my physical activity. This past fall I had a knee replacement. Due to an allergy to the adhesive in the dressing I had to be on Benadryl for a week. It completely reduced my appetite and broke a lifelong sugar craving.

It was all I could do to get the Ensure down that I needed to heal.

However, 9 months later I’ve maintained the 20-pound weight loss. I don’t crave sugar as I did before. I may have a sweet, but it just doesn’t taste the same. Consider a sugar break for 2 weeks. You’ll be shocked how it will also help end your sugar addiction.

Personally, I use a modified 16/8 fast. I eat a very small portion of either a small amount of yogurt, a handful of nuts or a piece of peanut butter toast for breakfast. The protein lingers filling me up until lunch. If’ I’m hungry I eat a palm size of peanuts. Honestly, I’m shocked how it works.

Maintaining a healthy weight is a challenge in a world filled with wonderful food and enormous portion sizes. But you can do it! Try a few of these tips and if you do decide to try a fast, please check with your doctor.

May God bless you as you try some new strategies to maintain a healthier weight over time.

 So, whether you eat or drink, or whatever you do, do all to the glory of God (1 Corinthians 10:31).

I’m a Christian nurse who helps people navigate the murky waters of healthcare
References:

USA Facts Team, “USA Obesity Rates Tripled Over the last 60 Years,” USA Facts (March 21, 2023). https://usafacts.org/articles/obesity-rate-nearly-triples-united-states-over-last-50-years/

  1. Gunners, “Intermittent Fasting 101-The Ultimate Beginner’s Guide, Healthline, Nutrition (May 3, 2024). https://www.healthline.com/nutrition/intermittent-fasting-guide

  1. Mitri, “Fasting for 3 Days: Is It a Game -Changer for your Metabolism or a Risk not Worth Taking?” Welltech/Well Hub (January 1, 2025). https://welltech.com/content/fasting-for-3-days/

  1. Streit, “7 Keto Risks to Keep in Mind,” Healthline (March 25, 2025). https://www.healthline.com/nutrition/dangers-of-keto-diet#5-May-cause-dangerously-low-blood-sugar

Welton et al., “Intermittent Fasting and Weight Loss, Systematic Review” Canada Family Physician (February 2020). https://pmc.ncbi.nlm.nih.gov/articles/PMC7021351/

  1. Raman, “Water Fasting: Benefits and Dangers,” Healthline (October 10, 2022).

https://www.healthline.com/nutrition/water-fasting

“Refeeding Syndrome,” The Cleveland Clinic (June 6, 2022). https://my.clevelandclinic.org/health/diseases/23228-refeeding-syndrome

  1. Wansink, Mindless Eating: Why We Eat More than We Think (December 28, 2010). https://www.amazon.com/Mindless-Eating-More-Than-Think/dp/034552688

I’m a Christian nurse who helps people navigate the murky waters of healthcare.

Author of Wake UP Call 911: It’s Time to Reduce your Risk for A Heart Attack and Stroke (2015) and Helping the Hurting: Nursing Ministry in the Body of Christ (2022).

You may visit my website for additional information: jenniejohnsonrn.com

All rights reserved 2025, Jennie E. Johnson, RN-BC, PhD

Paperback copies of both books for sale. Email me for details at:  ask@jenniejohnsonrn.com.

Prescriptions – How the System Works

Prescriptions – How the System Works

Recently, President Trump made news with an Executive Order designed to decrease the cost of prescriptions for Americans. He told a story that articulates the problem best:

A friend of mine who’s a businessman, very, very, very top guy, most of you would have heard of him. Highly neurotic, brilliant businessman, seriously overweight … and he takes the … fat shot drug. He called me up and he said, ‘President… I’m in London and I just paid for this fat drug I take…I just paid $88 and in New York I pay $1,300.’

Unfortunately, this problem is all too common for most Americans who take medications that have not been released in a generic form. President Trump’s first paragraph of the Executive Order describes the problem:

 The United States has less than five percent of the world’s population and yet funds around three quarters of global pharmaceutical profits. This egregious imbalance is orchestrated through a purposeful scheme in which drug manufacturers deeply discount their products to access foreign markets and subsidize that decrease through enormously high prices in the United States.

For as long as I remember the argument for the disparity of the cost of what Americans pay for non-generic medications compared to the rest of the world is that we need to fund research and development. There is no doubt that American drug companies’ revolutionary drugs have developed incredible solutions to many health problems. However, the question remains why must Americans shoulder most of the costs?

The Current System
It takes years to develop a new drug and then test it for efficacy and safety. Drug studies are very expensive involving thousands of people. The FDA then evaluates the results to determine if the new drug should be approved for use. The system only works if the FDA evaluators are independent of the pharmaceutical companies. For years there has been a revolving door of evaluators serving in the FDA then accepting positions at pharmaceutical companies. Questions have arisen regarding the objectivity of these affiliated members.

Generic Drugs
After 20 years or so the new drug’s recipe becomes available to other manufactures and generic drugs are born. They are significantly cheaper than the trade name or newer patent protected drug. Most healthcare providers utilize generic drugs whenever they can to reduce costs for their patients. Currently many are made in other countries. There is a move to bring that manufacturing back to the United States.

Pharmacy Benefit Managers: The Middlemen
Compounding the problem are the large pharmacy benefit managers or also known as middlemen who go-between the drug company and the pharmacy. The Federal Trade Commission issued an interim report in 2024: The report details how prescription drug middlemen profit at the expense of patients by inflating drug costs and squeezing main street pharmacies. It’s a complicated system that President Trump is looking into with the recent Executive Order.  

What You Can Do if Your Medications Cost to Much

 Insurance
If you’re on Medicare during the annual enrollment period, you can change your drug plan to one that is more affordable. Rates tend to increase annually so it’s a good idea to examine your plan and change it to a cheaper one that covers your costs better. A Medicare/Secondary advisor can evaluate your plan.

Coupons
Good RX, and others provide coupons that you present to your pharmacist to get a better price on an expensive medication. They usually require a cash payment to use the coupon. As an example, go to goodrx.com and enter your medication. A list of local pharmacies will be displayed and their cost for that drug. Just because you have most of your medications at one pharmacy doesn’t mean you have to remain with that pharmacy when using a cash payment and a coupon. You may pick up the expensive one at one place and use your insurance for the others at a different place.

Hardship Cases
For some people the cheaper generics just simply don’t work and a newer more expensive trade name still under patent is needed but you can’t afford it. You can contact the drug manufacture directly to inquire if you qualify for a major reduction in cost based on your financial situation.

On A Personal Note:
My husband had a slight detached retina a few years ago. It required several repairs, and very expensive eye drops to heal it. With a little bit of homework, we worked with the doctor, pharmacy and insurance company to find solutions and drops that worked but were more affordable.

I’m on an estrogen derivative that is very expensive. I used Good RX for a few years but the price was still very expensive. Surprisingly, I found it much cheaper on the Amazon Pharmacy. It’s easy to use. Amazon provides a form for the healthcare provider to email the prescription. The medication is sent out in the mail.

Finally, Americans have been expected to carry the heavy burden of all the nations around the world on many issues. It’s time that they step up and share these costs as well. The bottom line for this is to pray for our representatives to come up with commonsense Judea Christian governance to solve the problems of today. May they do so…

Let the wise hear and increase in learning, and the one who understands obtain guidance (Proverbs 1:5).

References:

Kinsey Crowley, “Trump Mentions ‘Fat Shot Drug’ in Executive Order Announcement. Will Ozempic Get Cheaper?” USA Today (May 13, 2025). https://www.usatoday.com/story/news/2025/05/13/trump-fat-shot-drug-ozempic-prices-wegovy/83595110007/ .

“Delivering Most-Favored-Nation Prescription Drug Pricing to American Patients,” The White House, (May 12, 2025). https://www.whitehouse.gov/presidential-actions/2025/05/delivering-most-favored-nation-prescription-drug-pricing-to-american-patients/

Sydney Lupkin, “A Look at How the Revolving Door Spins from FDA to Industry,” NPR Shots Health News (September 28, 2016). https://www.npr.org/sections/health-shots/2016/09/28/495694559/a-look-at-how-the-revolving-door-spins-from-fda-to-industry

Ananya Mandal MD, “Drug Patents & Generic Pharmaceutical Drugs, News medical Life Sciences (September 24, 2016). https://www.news-medical.net/health/Drug-Patents-and-Generics.aspx

“FTC Releases Interim Staff Report on Prescription Drug Middlemen,” Federal Trade Commission (July 9, 2024). https://www.ftc.gov/news-events/news/press-releases/2024/07/ftc-releases-interim-staff-report-prescription-drug-middlemen

GoodRX.com. https://www.goodrx.com    

“How It Works” Amazon Pharmacy. https://pharmacy.amazon.com/?nodl=0&ref_=nav_cs_pharmacy

I’m a Christian nurse who helps people navigate the murky waters of healthcare.

Author of Wake UP Call 911: It’s Time to Reduce your Risk for A Heart Attack and Stroke (2015) and Helping the Hurting: Nursing Ministry in the Body of Christ (2022).

You may visit my website for additional information: jenniejohnsonrn.com

All rights reserved 2025, Jennie E. Johnson, RN-BC, PhD

Paperback copies of both books for sale. Email me for details at:  ask@jenniejohnsonrn.com.

Levels of Healthcare: Homecare to ICU

Levels of Healthcare: Homecare to ICU

Many people appear truly confused about the various levels of healthcare available to people when they get sick. This blog will help end some of that confusion.

Diagnosis

Providers
There are several options for diagnosing medical problems. The best approach is to have a long-term relationship with a healthcare provider, whether it be a physician, a nurse practitioner or a physician’s assistant. Doctors are the most experienced having gone to medical school for 3 years then several more years of residency within their area of expertise.

Nurses spend 4 years in nursing school and then another 3 years learning how to diagnose and treat common problems. Physician assistants graduate from college from a variety of backgrounds and then spend 2 to 3 years of medical training.

Facilities
Clinics are also another option for care. You may or may not see a different healthcare provider for each visit and are generally more economical.

 Urgent Care centers are satellite emergency rooms that can handle most common, easy to treat problems and are generally cheaper. Hospital Emergency (ER) rooms provide more comprehensive and challenging care. Some ER’s are trauma centers with staff available for very serious acute conditions.

 For rare and unusual medical problems, it’s wise to seek care in a specialty center generally found within larger urban areas. They have physicians who’ve spent a vast number of years dealing with unique, uncommon health concerns.

Treatment
Day Surgery
Many day surgery centers are popping up throughout the US. They typically handle relatively healthy people who need a surgical procedure and is not expected to have serious complications. The operation and discharge usually occur on the same day. It’s much more economical in many cases than a major hospital operating center. However, a hospital is the best place for a major operation needing additional backup or someone who may have serious complications or possible delayed recovery.

Recovery Room 
Whether in a Day Center or Hospital patients will need to recover from the anesthesia while being monitored following surgery. Once awake and stable they’re moved to a holding area in the Day Surgery facility or a surgical floor in the hospital.

 Acute Care
Regular Floor\
When you think of being hospitalized most have visited someone on what’s known as the regular floor. Stable patients who still need registered nurse monitoring and care are admitted until ready for discharge home. The patient may stay overnight or for a few days depending on their procedure and health status.

 Telemetry Unit
This unit is needed when someone has a heart issue or irregular rhythm problem, and needs monitored while recovering. They are generally otherwise stable patients.

Step-Down Unit
Patients discharged from a critical care unit are often sent to the Step-Down unit where there are fewer patients for each registered nurse. These patients are generally monitored for heart irregularities and respiratory complications. They require greater care than the telemetry floor nurses could provide.

 Critical Care (ICU/CCU)
Registered nurses in critical care units generally have 1 or 2 patients who may be very unstable. Some surgical patients following complicated operations may be sent to ICU for monitoring for dangerous complications in the immediate post-op period.

Chronic Care
Long In-house Hospital Care
Some hospitals have a unit for patients with longer term care needs but are not stable enough to be discharged to another center. They work much like a rehabilitation center but with more closely monitoring and nursing care.

 Rehabilitation Care Centers
These centers provide a few weeks or months of nursing care while someone recovers from a medical problem.

Assisted Living Care
Another name for a nursing home is often assisted living. A registered nurse or a technician is available for medication dispensary and nursing support. The patient isn’t able to care for themself at home. All meals are provided, and staff can help with bathing, etc. Some individuals don’t require heavier medical care but need the assistance with meals and medication support.

Independent Living Care
These facilities offer meals while the individual lives in more of an apartment environment. Medication support can be arranged. Rides for activities and social events are available since most people are unable to drive.

In-Home Healthcare Options
Most people would rather remain in their home for as long as possible. Visiting or home healthcare nurses make home visits to assess patients, change dressings, draw blood or even give IV medications. Most insurance covers their time for a while. Physical therapists also make home visits to provide physical therapy. Private companies may supply nursing aide staff for basic care, housekeeping and simple errands.

Palliative Care
Most people are unaware of the palliative care program provided through hospice. When one is suffering from chronic pain nearing the end-of-life palliative nurses can be extremely helpful. They evaluate all medications and work with a doctor to prescribe overall care that improves the quality of life.

My frail mother suffered from anxiety attacks and explosive diarrhea related to her dementia a year before she died. Sometimes she refused to take any medications to help unless a family member was present. The palliative nurse ordered a cream to reduce her anxiety and a Kefir drink for the diarrhea which greatly improved her life.

Hospice
For someone in the last chapter of their life, the hospice team provides excellent care to ease the suffering. The nurses are also highly trained to assist families in the grieving process as well.

On A Personal Note:
The healthcare system in the United States is certainly complicated but there are a few things you can do to simplify your situation. First, the biggest mistake people make is not getting a second opinion when solutions to a problem aren’t getting resolved. Healthcare providers are human. The really good ones that I know are not threatened by another opinion. They welcome it! They want answers to your problem as well.

Secondly, keep escalating the healthcare providers until you get resolution. Reach out to the larger medical centers where they are experienced at dealing with what I call the weird and the rare.

My mother-in-law had miserable abdominal hives for 6 months. None of the specialists within her city could find a cause despite innumerable tests. It was definitely a weird and rare phenomenon. We took her to the Mayo Clinic in Rochester, Minnesota. In one day, she saw a dermatologist for the rash, a hematologist for the dangerously high platelets and a neurologist for her dementia. The high platelets were causing the rash. A new medication reduced them, and the rash disappeared. Her brain scan showed extensive damage and the cause of her frequent accidents. He gave her the news about no further driving.

Finally, while we all want to have our surgery the closest to home as possible, sometimes that makes life more complicated. Smaller hospitals and day surgery centers are staffed for common procedures and problems. But if you are one of those weird and rare situations you may be better off doing more homework and getting your procedure done at a major medical center where they have more experienced staff to care for your strange problem.

May God bless you with wisdom on finding excellent providers to care for you and yours…

If anyone of you lacks wisdom, let him ask God, who gives generously to all without reproach, and it will be given him (James 1:5)

    I’m a Christian nurse who helps people navigate the murky waters of healthcare.

    Author of Wake UP Call 911: It’s Time to Reduce your Risk for A Heart Attack and Stroke (2015) and Helping the Hurting: Nursing Ministry in the Body of Christ (2022).

    You may visit my website for additional information: jenniejohnsonrn.com

    All rights reserved 2025, Jennie E. Johnson, RN-BC, PhD

    Paperback copies of both books for sale. Email me for details at:  ask@jenniejohnsonrn.com.

    Cholesterol, Saturated Fats & Statins

    Cholesterol, Saturated Fats & Statins

    Recently there has been a great deal of controversy over saturated fat intake, elevated LDL cholesterol and the statin drugs to treat high levels. Does a fatty diet or high LDL cholesterol increase one’s risk for a heart attack and stroke? Should an individual take a statin to lower cholesterol? What are the risks and benefits?

    How Does Atherosclerosis (Plaque) Develop?
    When born the arteries throughout the body are smooth like the inside of the cheek. Years of risk factors begin to take a toll and damage the interior lining. High blood pressure roughens up the lining much like sandpaper. Elevated glucose or sugar scratches the lining as it travels by.

    Inflammation occurs when the body recognizes the damage and sends an army of white blood cells to heal it. The area becomes red and swollen much like any other wound. LDL cholesterol traveling through the blood becomes trapped within the damaged area, worsening the problem.

    It’s well known that if you lower the amount of LDL traveling in the blood, less will become trapped within the damaged area. Healing occurs as a fibrous cap covers the area preventing a rupture that could cause a heart attack.

    Understanding Cholesterol
    Total cholesterol is made up of HDL or healthy cholesterol, LDL lousy cholesterol and VLDL very lousy cholesterol. It’s called lousy because it can get trapped in damaged arterial walls. The HDL helps the body eliminate the LDL. The VLDL cholesterol changes and is a harder predictor and generally not discussed by healthcare providers. Cholesterol is needed in hormone production.

    Early studies looked at the total cholesterol number to predict outcomes and treatments. However, since the total number is made up of healthy and unhealthy cholesterol it was discarded. Today the focus is on the level of LDL cholesterol for treatment goals.

    Multiple studies have shown that lowering LDL cholesterol reduces one’s risk for a heart attack and stroke when abnormal risk factors or insulin resistance is present. Even those opposed to statin treatment agree on this truth. However, criticism has continued regarding potential bias of the research when most funding may have come from the drug companies manufacturing the drug.

    Insulin Resistance or Metabolic Syndrome
    When an individual ingests food, it’s converted to glucose. The pancreas secretes insulin to use the glucose for energy. Sedentary, obese people will not be able to burn off the excess glucose which will be converted to stored fat. Over time the pancreas literally wears out, excess glucose remains in the blood scratching artery linings, and one may become a diabetic. Early warning signs are Insulin Resistance or the Metabolic Syndrome.

    If an individual has 3 of the 5 signs, they are considered insulin resistant:

    1. Obesity or waist measurement over 35 inches for a woman and 40 inches for a man.
    2. Elevated fasting glucose >100
    3. High blood pressure >130/85
    4. Fasting triglycerides >150
    5. Low HDL <50 for a woman and <40 for a man

    Saturated Fats
    Since the 1980’s food manufactures have increased portion sizes. Today one restaurant entre is enough food to feed 3 people. Restaurateurs have shared that it costs about the same to make the larger portions but can be sold at a much higher profit.

    Americans have lost the ability to judge an appropriate portion size. Almost everything has been super-sized along with American waistlines and a host of diseases. The trend continues to escalate with 81% of adults either 30% overweight, 42% obese or 9% severely obese.

    Of children (2 to 19 years old) 41% are either 16% overweight, 19% obese or 6% severely obese.

    Keto diets high in protein and saturated fats decrease appetite for weight loss but it is unknown what the impact will be on long term health. However, a new study by Dr. Matthew Budoff raised some interesting questions.

    Budoff’s team examined 80 healthy adults matched by age, gender, race, normal blood pressure and nonsmoker. The average age was 55 and were followed for 4.7 years. Coronary artery calcium scores tests (previously discussed in February 2025 blog) and CT angiography were done to ascertain atherosclerosis buildup.

    Comparisons were made between one group with an average LDL of 272 mg/dL on a Keto diet (high in saturated fats) while the other Miami Heart group’s average LDL was 123 mg/dL. Astonishingly, no significant difference was found between the 2 groups regarding the amount of plaque buildup.

    Budoff’s team postulated that those eating an extremely high amount of saturated fats perhaps had larger more buoyant LDL cholesterol that simply were too big to get stuck even with such high LDL levels. The other group may have had smaller denser LDL that even with lower levels may have become lodged more easily. The size of the LDL particles was not measured. They cautioned that more research is needed since this was a small sample size.

    Statins
    Statins were introduced in the 1990’s. They work by blocking an enzyme the liver needs to make LDL cholesterol. The risks and benefits of any treatment should be ascertained. Rhabdomyolysis is a rare complication that causes severe pain, liver damage, kidney failure and death. More common side effects may include annoying muscle pain (5% of adults), digestive problems, elevated glucose, mental fuzziness, etc. Statins may interact with some common medications. However, most people tolerate them very well.

    How are Cholesterol, Saturated Fats and Statins Connected?
    Dr. Paul Saladino is a prominent outspoken critic of statin therapy to lower LDL cholesterol. He advocates for a diet very high in saturated fats, minimal fruits and vegetables and several hours of daily physical activity. Most would find this lifestyle difficult to maintain.

    He argues that 86% to 90% of Americans have some form of insulin resistance which is the primary cause of heart disease or plaque build-up. LDL cholesterol may get stuck in the damaged areas, but it’s not the villain. He argues that if one does not have insulin resistance high levels of LDL cholesterol are not a health risk. However, he does indicate when statins are helpful:

    If you’re insulin resistant and we lower your LDL cholesterol, your risk for heart disease is unequivocally lower. However, we didn’t treat the real cause which is insulin resistance or a metabolic disorder.  

    On A Personal Note:
    Interestingly I met Dr. Budoff when he visited our heart institute in Chicago. He’s a pioneer and leader in the calcium score technology to detect hidden plaque that cause heart attacks and I have great respect for him. I found his study and Dr. Saladino’s comments fascinating.

    The question remains, if you have an LDL cholesterol over 100 mg/dL what should you do? Should you take statins that your doctor is recommending? I highly recommend a non-contrast coronary artery calcium score test to be your tie breaker. It’s a simple test. If you don’t have any buildup, then you have time to work on your healthier lifestyle and keep an eye on it. However, if you have buildup, you probably need a statin to prevent circulating LDL cholesterol from getting lodged into those damaged areas.

    Recently, a young 45-year-old man I know died from a sudden heart attack. He ignored his abnormal glucose levels, obesity and high cholesterol. If he had obtained a coronary artery calcium score test the dangerous plaque buildup would have been identified and treated.

    Don’t ignore your numbers either and remember the more you do with your healthier lifestyle…the less medication you’ll need to correct problems.

    God bless you as you move toward a heart healthy life.

    Whether you eat or drink or whatever you do…

    do it all for the glory of God (1 Corinthians 10:31).

    References:

    1. Wang et al. “Compounding Benefits of Cholesterol Lowering Therapy for the Reduction of Major Cardiovascular Events: Systematic Review & Meta-analysis,” Circulation Cardiovascular Quality Outcomes (June 6, 2022). https://pubmed.ncbi.nlm.nih.gov/35430872/

    “Metabolic Syndrome,” Cleveland Clinic (September 9, 2023). https://my.clevelandclinic.org/health/diseases/10783-metabolic-syndrome

    “Overweight & Obesity Statistics,” National Institute of Diabetes, Digestive & Kidney Disease (September 2021). https://www.niddk.nih.gov/health-information/health-statistics/overweight-obesity

    Budoff et al., “Carbohydrate Restriction-Induced Elevations in LDL Cholesterol & Atherosclerosis,” Journal of the American College of Cardiology, (August 28, 2024). https://pmc.ncbi.nlm.nih.gov/articles/PMC11450898/

    1. Johnson, “Heart Attack: Test to Determine Hidden Plaque Buildup,” A Nurse’s Voice (February 1, 2025.) https://anursesvoice.substack.com/publish/posts/detail/156138911?referrer=%2Fpublish%2Fposts

    “Statins Side Effects: Weigh the Benefits & Risks,” Mayo Clinic (March 11,2025). https://www.mayoclinic.org/diseases-conditions/high-blood-cholesterol/in-depth/statin-side-effects/art-20046013

    “Paul Saladino MD: The FDA Approved Poison You Eat Every Day” (SRS #179), The Shawn Ryan Show (March 5, 2025), https://www.youtube.com/results?search_query=paul+saladino+md+podcast .

    I’m a Christian nurse who helps people navigate the murky waters of healthcare.

    Author of Wake UP Call 911: It’s Time to Reduce your Risk for A Heart Attack and Stroke (2015) and Helping the Hurting: Nursing Ministry in the Body of Christ (2022).

    You may visit my website for additional information: jenniejohnsonrn.com

    All rights reserved 2025, Jennie E. Johnson, RN-BC, PhD

    Paperback copies of both books for sale. Email me for details at:  ask@jenniejohnsonrn.com.