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We have all heard the advice to avoid red meat for heart health, yet most do not know this mechanism takes root in the gut microbiome. The gut microbiome is a significant link between nutrition and heart health, as host-microbiome interactions influence the synthesis and release of several metabolites, including trimethylamine-N-oxide (TMAO), bile acids (BA), and short-chain fatty acids (SCFA). An alteration in diversity and composition of the gut microbiome and its associated metabolites are implicated in cardiovascular and metabolic health outcomes. Microbial dysbiosis has been implicated in the progression and pathogenesis of cardiovascular disease, including atherosclerosis, hypertension, and heart failure. Irritable bowel syndrome may precede myocardial infarctions. Notably, fecal microbial transplants influence not only obesity, but blood pressure and clotting risk. As we recognize coronary heart disease is a lifestyle disease with a nutritional component, a comprehensive stool assessment is appropriate to identify chronic dietary patterns, as a mechanism to utilize food as medicine. Additionally, moving beyond simply evaluating cholesterol, LDL and HDL, and including oxidized LDL, small dense LDL, and non-HDL cholesterol is warranted. Consideration of metabolic markers such as glycomark and fasting insulin provide a holistic approach to cardiometabolic health.
Dr. Julia Malkowski enjoys empowering individuals via "docere"; to teach, to delight and to move. Upon experiencing the excellent results of restoring the health of her infant son, Dr. Malkowski began her career in Naturopathic Medicine. Dr. Malkowski graduated with a doctorate in Naturopathic Medicine in December 2017, and a doctorate in Chiropractic Medicine in April 2016 from National University of Health Sciences. Dr. Malkowski has presented at International College of Integrative Medicine (ICIM), the Institute of Women’s Health and Integrative Medicine (IWHIM) and The American Academy of Anti-Aging Medicine (A4M). Dr. Malkowski has been published in The American College for the Advancement in Medicine and The Townsend Letter. She remains committed to optimal health on a personal level and professional level as a Staff Doctor in the Clinical Education Department at Doctor’s Data, Inc.
**This presentation is worth 1 Category 1 CE for Washington-licensed NDs.**

Originally presented May 3rd - 5th, 2024, at WANP's CONNECT 2024 conference.