LEVELS – A Whole New Level

High cholesterol. Elevated ApoB. A positive CAC score. Now what?Most people quickly find themselves trapped between two extremes: simplistic advice to “cut saturated fat” and online influencers insisting cholesterol doesn’t matter at all.In this episode of A Whole New Level, Mike Haney sits down with clinical research scientist Dr. Kevin Maki to cut through the confusion.Drawing on more than 35 years of cardiovascular research, Maki explains why heart disease risk is about much more than LDL cholesterol alone. He breaks down the roles of inflammation, blood sugar, family history, kidney function, and lipoproteins, while also making a clear case for something many people resist: LDL and ApoB still matter. A lot.The evidence increasingly suggests that when it comes to atherosclerosis, lower for longer is better. That has important implications for diet, statins, and how early we should intervene.Mike and Dr. Maki also tackle saturated fat, seed oils, red meat, industry-funded research, and how to separate evidence from online nutrition debates.Free course: Improve your metabolic healthGet our free email course on how glucose, nutrition, exercise, sleep, and measurement can help you build habits that support better energy and long-term health: ⁠⁠⁠⁠https://levels.link/wnl⁠🎙️ About the Guest: Dr. Kevin Maki is founder and Chief Science Officer of Midwest Biomedical Research and an Adjunct Professor in the School of Public Health at Indiana University. A former president of the National Lipid Association, he has spent more than three decades designing and leading clinical trials focused on cardiovascular disease, diabetes, nutrition, and lipid management.His research has included studies on cholesterol-lowering therapies, dietary patterns, red meat, seed oils, inflammation, and cardiometabolic risk reduction.📍What Dr. Kevin Maki & Mike Haney discussed:0:00 — Dr. Maki’s background in clinical research4:30 — How industry-funded nutrition research actually works15:00 — The Framingham Heart Study and the “Big Four” risk factors20:00 — FLASH-GLICK: the ten factors that drive cardiovascular risk26:00 — Why inflammation may be the next frontier in prevention33:00 — LDL, ApoB, and the “lower for longer” principle42:00 — Particle size, ApoB, and what advanced lipid testing adds47:00 — Why everyone should know their Lp(a)51:00 — Saturated fat, seed oils, and the “compared to what?” problem62:00 — What the red meat evidence actually shows72:00 — Statins, lifestyle, and LDL treatment goals82:00 — Why earlier LDL lowering may provide the biggest benefit🔗 Helpful Links:Watch the conversation: https://youtu.be/l8QzuuTYxLIBeef Consumption and Cardiovascular Disease Risk Factors: A Systematic Review and Meta-analysis of Randomized Controlled Trials: https://pmc.ncbi.nlm.nih.gov/articles/PMC11621491/Low-Density Lipoprotein Cholesterol Lowering and Risk of Major Adverse Cardiovascular Events in Primary Prevention Trials: A Meta-Analysis: https://www.sciencedirect.com/science/article/pii/S1933287426000395PREDIMED Trial (Mediterranean Diet & Primary Prevention): https://www.nejm.org/doi/abs/10.1056/NEJMoa1200303CORDIOPREV Trial: https://pubmed.ncbi.nlm.nih.gov/35525255/The Framingham Heart Study: A Historical Perspective: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61752-3/abstractMidwest Biomedical Research: https://midwestbiomedicalresearch.com/National Lipid Association: https://www.lipid.org/✅ Subscribe here on YouTube: https://youtube.com/levelshealth?sub_confirmation=1👋 Who we are:Levels helps you understand your metabolic health with personalized data, expert guidance, and tools that connect your daily choices to measurable changes in your body. Our goal is to help you make better decisions about food, exercise, sleep, and long-term health.Look for new shows every month on A Whole New Level, where we have in-depth conversations with thought leaders about metabolic health.

In this episode, Dr. Jesse Mills, Director of the UCLA Men’s Clinic, joins Mike Haney to explain what’s driving that shift and what today’s data-driven approach to men’s health looks like.He breaks down the testosterone “revolution,” what’s really happening in low-T diagnoses, and how lifestyle, sleep, and stress management can influence hormones as much as prescriptions can.They discuss: - How men’s health became its own medical discipline- What testosterone really does—and how to know if it’s low- Primary vs. secondary hypogonadism and how to tell the difference- When testosterone replacement is appropriate (and when it’s not)- Why younger men are now embracing prevention and optimizationAnd listen to Dr. Mills’ new podcast, The Male Room with Dr. Jesse Mills, wherever you get your podcasts.Sign Up to Get Your Free Ultimate Guide to Glucose: ⁠https://levels.link/wnl⁠🎙 What Dr. Jesse Mills & Mike Haney discuss:[2:10] — How men’s health became its own field[8:05] — The generational shift in openness[10:40] — The difference between real medicine and ‘men’s clinics’[12:00] — Testosterone 101[18:45] — When low testosterone is reversible[26:50] — Why we need ‘forensic endocrinology’Levels helps you see how food affects your health, empowering you with the tools needed to achieve health goals and improve healthspan. Levels Members gain access to the Levels app and continuous glucose monitors (CGMs), providing real-time feedback on how diet and lifestyle choices impact your metabolic health.Look for new shows every month on A Whole New Level, where we have in-depth conversations with thought leaders about metabolic health.🔗 Helpful links:Watch the conversation: https://youtu.be/Zs2CZC2GueAFind us on YouTube: ⁠https://youtube.com/levelshealth?sub_confirmation=1⁠📲 Connect with Dr. Jesse Mills: https://x.com/grurology?lang=en

Your immune system isn’t just about fighting infections—it’s a mirror of your overall metabolic health.In this episode of A Whole New Level, Dr. Sharon Bergquist, physician and Director of Emory’s Healthy Aging and Resilient Aging Center, joins Mike Haney to unpack the science of immune resilience—how chronic inflammation, white blood cell patterns, and metabolism intertwine to shape long-term health.Dr. Bergquist explains why inflammation isn’t always bad, how the immune system ages, and what you can do daily to build resilience.They discuss:The link between metabolic dysfunction and chronic low-grade inflammationHow white blood cell counts reveal immune status and stress levelsWhy gut and liver health are central to immune balancePractical habits that calm inflammation and support immune recoveryWhat it really means to have a “resilient” immune systemSign Up to Get Your Free Ultimate Guide to Glucose: https://levels.link/wnl🎙 What Dr. Sharon Bergquist & Mike Haney discuss:[3:24] — How inflammation protects—and harms—your body[10:11] — Why immune health depends on metabolism[17:42] — White blood cells as a window into immune function[24:38] — How the gut and liver shape immunity[32:27] — Why modern lifestyles fuel inflammation[40:55] — How to measure your own inflammation[48:33] — The science of immune aging (inflammaging)[56:22] — Building immune resilience through daily habits[1:03:44] — Why immune balance is better than immune ‘boosting’[1:11:08] — The hopeful message: immunity is adaptableLevels helps you see how food affects your health, empowering you with the tools needed to achieve health goals and improve healthspan. Levels Members gain access to the Levels app and continuous glucose monitors (CGMs), providing real-time feedback on how diet and lifestyle choices impact your metabolic health.Look for new shows every month on A Whole New Level, where we have in-depth conversations with thought leaders about metabolic health.🔗 Helpful links:Watch the conversation: https://youtu.be/k1XpdFGVx1oFind us on YouTube: https://youtube.com/levelshealth?sub_confirmation=1📲 Connect with Dr. Sharon Bergquist on LinkedIn: Dr. Sharon Horesh Bergquist Dr. Sharon Bergquist: https://drsharonbergquist.com/

Alzheimer’s and dementia aren’t just a matter of age or genetics. Increasing evidence shows that metabolic health—particularly insulin resistance—plays a key role in cognitive decline.In this episode of A Whole New Level, neurologist and bestselling author Dr. David Perlmutter joins Mike Haney to explore the links between brain health and metabolism. They discuss the role of insulin resistance and inflammation in Alzheimer’s disease, the biomarkers that can reveal risk decades before symptoms, and how lifestyle interventions can dramatically change your trajectory.Topics include:Key biomarkers for assessing brain health: fasting insulin, A1C, homocysteineWhy targeting inflammation may matter more than targeting amyloid plaquesThe promise and limitations of GLP-1 medications for dementia and Parkinson’sPractical steps you can take now to protect long-term cognitive functionSign Up to Get Your Free Ultimate Guide to Glucose: https://levels.link/wnl 🎙 What Dr. David Perlmutter & Mike Haney discuss:4:12 — Why Alzheimer’s is now called “Type 3 diabetes”9:45 — The role of inflammation in brain health15:22 — Biomarkers that predict dementia risk decades early22:31 — Why mainstream Alzheimer’s drugs fall short29:17 — GLP-1s and brain health36:44 — Lifestyle changes vs. pharmaceuticals44:19 — Why homocysteine matters53:02 — Sleep, circadian rhythm, and brain resilience1:02:38 — Early warning signs you shouldn’t ignore1:15:07 — The hopeful messageLevels helps you see how food affects your health, empowering you with the tools needed to achieve health goals and improve healthspan. Levels Members gain access to the Levels app and continuous glucose monitors (CGMs), providing real-time feedback on how diet and lifestyle choices impact your metabolic health.Look for new shows every month on A Whole New Level, where we have in-depth conversations with thought leaders about metabolic health.🔗 Helpful links:Watch the conversation: https://youtu.be/MV_9nyAN1VkFind us on YouTube: https://youtube.com/levelshealth?sub_confirmation=1📲 Connect:Dr. David Perlmutter on X: @DavidPerlmutterDavid Perlmutter, MD: ⁠https://drperlmutter.com/⁠

Your thyroid test results explained: The thyroid is a butterfly-shaped gland in your neck that affects many facets of health. When it doesn’t function optimally, symptoms can ensue. That’s where testing comes in, but the results can be tricky to interpret (and treat if necessary) without a knowledgeable clinician. Dr. Angela Mazza and Mike Haney discuss thyroid function, thyroid hormone and related tests and what they mean, treatment for thyroid conditions, the benefits of an integrative approach to thyroid care, and more.Get a Free Guide to Understanding Your Lab Results: https://levels.link/wnl 🎙 What Angela Mazza, DO, & Mike Haney discuss:2:44 — What is endocrinology?4:31 — What does the thyroid do?6:33 — Understanding hyperthyroidism10:08 — The “triangle” of autoimmune disease13:56 — Understanding hypothyroidism16:29 — Thyroid-stimulating hormone21:43 — Considering reverse T327:11 — Thyroid ultrasound37:32 – The importance of individualized thyroid replacement therapy40:53 — The thyroid gland and perimenopause42:49 — Misinformation about the thyroidLevels helps you see how food affects your health, empowering you with the tools needed to achieve health goals and improve healthspan. Levels Members gain access to the Levels app and continuous glucose monitors (CGMs), providing real-time feedback on how diet and lifestyle choices impact your metabolic health.Look for new shows every month on A Whole New Level, where we have in-depth conversations with thought leaders about metabolic health.🔗 Helpful links:Watch the conversation: https://youtu.be/HRNKRniVALkFind us on YouTube: https://youtube.com/levelshealth?sub_confirmation=1Angela Mazza, DO: https://www.metaboliccenterforwellness.com/Metabolic Center for Wellness: https://www.metaboliccenterforwellness.com/“Thyroid Talk: An Integrative Guide to Optimal Thyroid Health”: https://www.amazon.com/Thyroid-Talk-Integrative-Optimal-Health/Thyroid Talk community and training: https://www.thrivethyroid.com/Thyroid Talk podcast: https://www.metaboliccenterforwellness.com/copy-of-protocols-1Connect with Angela Mazza, DO, on Instagram: https:// https://www.instagram.com/metaboliccenterforwellness/

Our kidneys filter out waste while retaining substances the body needs, such as electrolytes. Kidney health, which can be assessed with blood and urine biomarker tests, is paramount to overall health. Yet lifestyle, such as the Western diet and other factors, can damage the kidneys, leading to either a slow progression of issues or acute injury. Dr. Rick Johnson and Mike Haney discuss the role of the kidneys, what lifestyle factors affect kidney health, ways to support the kidneys, and what your biomarker results tell you about the function of these crucial organs.Sign Up to Get Your Free Ultimate Guide to Glucose: https://levels.link/wnl🎙 What Rick Johnson, MD, & Mike Haney discuss:4:26 — Your kidneys are great regulators8:43 — Heat stress affects the kidneys12:04 — The most common causes of kidney disease include diabetes and high blood pressure19:46 — The Western diet is associated with age-related kidney decline 32:25 — The concerns of a high-protein diet in the presence of chronic kidney disease41:15 — Changes in urinary habits or color could indicate chronic kidney disease46:23 — Biomarkers can help assess kidney function53:18 — Serum creatinine as a biomarker of kidney health1:08:13 — Assessing patterns over time is crucial1:10:52 — High albumin in the urine is a sign of kidney disease1:21:26 — Lifestyle changes that support kidney healthLevels helps you see how food affects your health, empowering you with the tools needed to achieve health goals and improve healthspan. Levels Members gain access to the Levels app and continuous glucose monitors (CGMs), providing real-time feedback on how diet and lifestyle choices impact your metabolic health.Look for new shows every month on A Whole New Level, where we have in-depth conversations with thought leaders about metabolic health.🔗 Helpful links:Watch the conversation: https://youtu.be/8_QSuYwo5wgSubscribe here on YouTube: https://youtube.com/levelshealth?sub_confirmation=1Richard Johnson, MD: https://drrichardjohnson.comComprehensive Clinical Nephrology: https://drrichardjohnson.com/books/Connect with Richard Johnson, MD on Instagram: https://www.instagram.com/drrichardjjohnson/

The pancreas is a complex organ, but some key biomarkers can assess its health. The pancreas is both an exocrine organ (meaning it produces enzymes) and an exocrine organ (meaning it secretes hormones). It’s a key component of your metabolic health and therefore your overall health. Dr. Robert Lustig and Mike Haney discuss key pancreatic blood work to get checked, the differences between diabetes types and what causes them, what insulin resistance is, how to restore mitochondrial function through diet and lifestyle changes, and more.Get a Free Guide to Understanding Your Lab Results: ⁠⁠https://levels.link/wnl⁠⁠Levels helps you see how food affects your health, empowering you with the tools needed to achieve health goals and improve healthspan. Levels Members gain access to the Levels app and continuous glucose monitors (CGMs), providing real-time feedback on how diet and lifestyle choices impact your metabolic health.Look for new shows every month on A Whole New Level, where we have in-depth conversations with thought leaders about metabolic health.🎙 What Robert Lustig, MD, & Mike Haney discuss:(01:33) — The pancreas is a complex organ(13:20) — Three emergency mechanisms to prevent low blood sugar(18:28) — Why insulin is a crucial biomarker(19:57) — Understanding type 1 diabetes(27:11) — Understanding type 2 diabetes(30:03) — What mitochondrial dysfunction does to the pancreas(31:45) — The links between Alzheimer’s disease and type diabetes(33:07) — Obesity is about mitochondrial dysfunction(36:14) — Testing proinsulin and C-peptide(40:24) — Reversing mitochondrial dysfunction and type 2 diabetes(44:03) — Testing key pancreatic enzymes⁠⁠Transcripts & Show Notes⁠⁠⁠⁠🔗 Helpful links:Watch the conversation: ⁠https://youtu.be/5RnEdiTRYfI?si=GXeqvaXtyDLaXjUHFind us on YouTube: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://youtube.com/levelshealth?sub_confirmation=1⁠⁠