154 Joel Fuhrman, M.D.
to rupture proportionally to, and as a result of, weight reduction, caloric
restriction, nutritional excellence, and aggressive lipid lowering. The
most impressive results of shrinking and removing atheromas occur af-
ter the person has lost all his excess body fat. Body fat is designed for en-
ergy storage. Atheromas are more difficult to remove; they resolve after
other fat storage sites have been depleted. Fortunately, the same body
that created the atheromas has the ability to disintegrate them.
Many of my patients were first advised by other physicians to
undergo angioplasty or bypass. When they refused they were re-
ferred to my office and chose aggressive nutritional management.
Without exception, they have all done well; chest pain has resolved
in almost every case (only one went to repeat angioplasty because of
a recurrence of chest symptoms); and none of these patients has died
from cardiac disease.
A typical patient is John Pawlikowski. I see patients like him al-
most every day. John's story is not unusual — but a miracle to him
nevertheless. John came to me with a history of steadily worsening
angina. His chest pains were increasing. His stress thallium test sug-
gested multivessel coronary artery disease. He underwent a cardiac
catherization, which revealed a 95 percent stenosis of the left ante-
rior descending artery, and the left circumflex had diffuse disease,
but all less than 40 percent narrowed. He had normal heart function.
His cholesterol was 218, he weighed 180 pounds, and he was on two
blood pressure medications.
Within a few weeks of following my diet, John's chest pain
ceased and he stopped taking nitroglycerin tablets for chest pain re-
lief. In two months his weight dropped to 152 — a loss of 28 pounds
in eight weeks. Today, five years later, he still weighs 150, following
the same diet. He is well, with no restrictions on his activity, and his
blood pressure runs about 128/78. He takes no medication, and his
stress test has normalized.
JOHN'S LABORATORY REPORTS
DATE 6/6/94 5/5/99 % CHANGE
Cholesterol 218 161 -26
Triglycerides (^140 80) -43
HDL (^48 65 35)
LDL 144 80 -44
CholesterohHDL ratio 4.7 2.4 -49