Name: 我在 7 天內吃了 100 個雞蛋：這就是我的膽固醇發生了什麼（I Ate 100 EGGS In 7 Days: Here's What Happened To My CHOLESTEROL）
Uploaded: 2023-03-30T11:32:23.000Z
Duration: 26 min 18 s

轉承詞

Well I'm about to find out because I'm going to  the lab to get my blood drawn then I'm going to  

嗯，我馬上就要知道了，因為我要去實驗室抽血，然後我要

eat 100 eggs in seven days. I'm gonna get more  blood drawn, I'm going to compare the results  

在 7 天內吃掉 100 個雞蛋。我會抽更多的血，我會比較結果

程度副詞

and I'm gonna share them with you. Hello Health  Champions this is a very detailed cholesterol  

，然後與你分享。你好健康冠軍這是一個非常詳細的膽固醇

analysis of before and after I ate a hundred  eggs in seven days and I know the number one  

分析，我在 7 天內吃了一百個雞蛋前後，我知道 現在每個人的

question on everyone's lips right now is did the  cholesterol go up but if you have that question  

第一個 問題是膽固醇是否上升，但如果你有這個問題

that is the absolute wrong question and if you  clicked on this video just to find that out I  

，那是絕對的錯誤的問題，如果你點擊這個視頻只是為了發現這個問題，我

absolutely guarantee that you will completely miss  the point of this video so please don't skip ahead  

絕對保證你會完全錯過這個視頻的重點，所以請不要跳過

I'm going to talk about eighty percent about how  cholesterol works and how they report it because  

我將談論百分之八十的膽固醇是如何工作的以及它們是如何工作的報告它，因為

if you don't have those Basics then what happened  to me will be completely and totally irrelevant  

如果你沒有這些基礎知識，那麼發生在我身上的事情將完全無關緊要，

but if you stick with it you're going to learn  some things that could save your life what we  

但如果你堅持下去，你將學到一些可以挽救你生命的東西，我們

want to look at is the big picture and the balance  between some key markers so I'm going to designate  

想要看的是大圖片和一些關鍵標記之間的平衡，所以我將

with arrows if something stayed the same if it got  better or if it got worse so my total cholesterol  

用箭頭表示如果情況保持不變，如果它變得更好或如果它變得更糟，所以我的總膽固醇

went from 207 to 277. so that is about the same  and now you're just saying hey this guy is totally  

從 207 升到 277。所以這差不多，現在你只是說嘿，這傢伙完全

crazy 207 is not the same as 277 and yes I can  see that the number changed but what I'm talking  

瘋了 207 和 277 不一樣，是的，我可以看到數字發生了變化，但我說的

about is the risk factor the total risk factor  and we're going to talk a lot about that my LDL  

是風險因素，總風險因素，我們將討論很多關於我的LDL

went from 1 36 to 201 and that is also about the  same because by themselves those markers don't  

從 1 36 上升到 201，這也差不多，因為這些標記本身並不

mean a whole lot my triglycerides stayed about  the same both the number and the risk factor  

my HDL went up a good bit so that's a little  bit of an improvement more isn't always better  

once you get up to 90 or 100 then it can be high  for the wrong reasons but if you're in the 50 60  

一旦你達到 90 或 100，它可能會因為錯誤的原因而變高，但是如果你在 50 60

70 range then more is better also my TSH went up  which has to do with thyroid function and a slow  

70 範圍內，那麼越多越好，我的 TSH 也上升了，這必須與甲狀腺功能有關，

thyroid can reduce your ability to process and  metabolize cholesterol and then we're going to  

甲狀腺功能減退會降低你處理和代謝膽固醇的能力，然後我們將討論

talk about the size of the LDL particles and  here's something that got a little bit worse  

低密度脂蛋白顆粒的大小，這裡有一些更糟糕的東西，

designated by a red arrow but the question is  how much worse did it get so if you stay with  

用紅色箭頭表示，但問題是情況變得更糟了，所以如果你和

me you're going to grasp this picture and I don't  want anyone ever to get on a damaging medication  

我在一起，你就會明白這張照片，我不希望任何人因為錯誤的原因而服用有害藥物，

for the wrong reasons if you're going to start  something you need to know why and you need to  

如果你要開始做某事，你需要知道為什麼，你

understand at least most of these markers and  what they mean and how they relate also we need  

至少需要了解這些標記中的大部分以及它們的含義和方式他們也相關 我們

of course a few disclaimers my results may not  be typical don't compare your results to mine but  

當然需要一些免責聲明 我的結果可能不典型 不要將你的結果與我的結果進行比較，而是

rather understand the mechanisms that I'm talking  about this is a study called n of 1 meaning the  

了解我正在談論的機制 這是一項名為 n of 1 的研究，意味著樣本

sample size is one person so statistically that  means very very little and results are also going  

量是一個人所以從統計學上講，這意味著非常小，結果也將

to depend on genetics and your overall metabolic  health and finally this study is only seven days  

取決於遺傳學和你的整體代謝健康，最後這項研究只有 7 天，

so in that time period you're not going to see a  lot of long-term changes and why was it so short  

所以在那個時間段內你不會看到很多長期變化，為什麼是不是太短了

well you try eating 15 eggs a day and seven days  are going to seem like a pretty long time and we  

，你嘗試每天吃 15 個雞蛋，而 7 天似乎是相當長的時間，我們

also want to understand that results can be skewed  by events and complications that happen so if on  

還想了解結果可能會因發生的事件和並發症而扭曲，所以如果在

day four you run into some yellow jackets or  three of them and you're highly sensitive that  

第四天你遇到一些黃色夾克或三件並且你非常敏感，

can create an inflammatory Cascade that can  also skew the results so I don't know if this  

會產生炎症級聯反應，也會扭曲結果，所以我不知道這是否

influenced it but we have to keep that things like  that in the back of our mind and we also need to  

影響了它，但我們必須將這樣的事情牢記在心，我們也需要

understand the concept of margin of error that  if something just changes is a couple of points  

理解誤差幅度的概念，如果某些事情只是改變了幾個點，

it really doesn't mean anything so in this case  this is the same test page 1 and Page Three it is  

那實際上並不意味著什麼，所以在這種情況下，這是相同的測試頁 1 和第三頁，它是

the same blood draw it was six vials taken from  the same vein at the same time on 10 12 and yet  

相同的抽血，它是從中取出的六個小瓶10 月 12 日在同一時間使用相同的靜脈，但當

when they send it to two different departments one  it to evaluate the NMR and want to do the regular  

他們將其發送到兩個不同的部門時，其中一個是評估 NMR 並想做常規的

lipid profile we get two different results so  for this test on 10 12 there's a four percent  

脂質分析，我們得到兩個不同的結果，因此對於 10 月 12 日的測試，有 4%

discrepancy in the cholesterol that they measured  and when they checked the triglycerides there was  

他們測量的膽固醇與檢查甘油三酯時的差異甚至有

even a 16 margin of error and this is something  they measure from the same blood sample and then  

16 的誤差幅度，這是他們從同一血樣中測量的東西，然後

the marker that most people are the most concerned  with is the LDL cholesterol and if you notice in  

大多數人最關心的標記是低密度脂蛋白膽固醇，如果你 注意 這裡的括號裡說的是計算出來的，這意味著

parentheses here it says calculated that means  they don't actually measure LDL cholesterol well  

大多數時候 他們實際上並不能很好地測量低密度脂蛋白膽固醇，

most of the time because it's very expensive most  of the time they're going to calculate it based on  

因為大多數時候它非常昂貴，他們將根據

total cholesterol HDL and triglycerides and they  have a very complicated formula but if there's an  

總膽固醇高密度脂蛋白和甘油三酯來計算它，而且他們有一個非常複雜的公式但是如果這些數字有

error or margin of these numbers then you're also  going to have a margin of error on LDL so in this  

誤差或誤差，那麼低密度脂蛋白也會有誤差，所以在這個

particular case there was an eight percent error  in the LDL and then eight days later when I did it  

特殊情況下，低密度脂蛋白有 8% 的誤差，八天后，當我

again I'm not going to give you all those numbers  but we had four percent on the total we had one  

再次這樣做時，我是不會給你所有這些數字，但我們有 4% 的總數，我們

and a half percent error on the triglycerides and  we had a four percent error on the LDL so all of  

在甘油三酯上有 1.5% 的錯誤，我們在 LDL 上有 4% 的錯誤，所以所有這些

this is just to say that don't look at too much at  the nitty-gritty if one marker changes it doesn't  

只是說不要看如果一個標記發生變化，那麼在細節上太多了

really mean a whole lot if eight markers change  then we want to see are they moving in the same  

如果八個標記發生變化，那麼我們想看看它們是否朝著同一

direction do we see a trend do we understand how  these work together and if you came here to find  

方向移動，我們是否看到趨勢，我們是否了解它們是如何協同工作的？如果你來這裡是想知道

out what happens if you eat 100 eggs in seven days  then first we have to understand what is supposed  

發生了什麼如果你在 7 天內吃了 100 個雞蛋，那麼首先我們必須了解什麼應該是

to be a healthy cholesterol and what is really a  healthy cholesterol so first of all here is what's  

健康的膽固醇，什麼是真正健康的膽固醇所以首先這裡是什麼應該

supposed to be this is what we've been told that  there's different levels of cholesterol that range  

是這是我們被告知的不同水平的膽固醇，

from dangerous to at risk to what's called heart  healthy and in the general model lower cholesterol  

從危險到危險到所謂的心臟健康，在一般模型中，較低的膽固醇

is always healthier but we're going to question  that very very strongly so they say a total  

總是更健康，但我們會非常非常強烈地質疑這一點，所以他們說總

cholesterol should be less than 200 you're at risk  between 200 and 239 and over 240 it is dangerous  

膽固醇應該低於 200 你處於 200 和 239 之間以及超過 240 之間的風險 這是危險的 它

it is in the red zone it's like you're walking a  heart attack you could blow up at any time your  

處於紅色區域 這就像你正在心髒病發作一樣 你隨時可能爆炸 你的

LDL they say should be less than 100 and if you  saw on my test it was 200 and I'm not particularly  

LDL 他們說應該小於 100 如果你看到我的測試它是 200，我並不特別

concerned and maybe I'm crazy or maybe I know  this a little bit better than some at risk is 100  

擔心，也許我瘋了，或者我知道這比一些有風險的人好一點，是 100

to 130 and anything over 130 is dangerous and the  third marker often mentioned is triglycerides and  

到 130，任何超過 130 的東西都是危險的，經常提到的第三個標記是甘油三酯，

they want that under 150 you're at risk between  150 and 199 and you're in a danger zone over 200  

他們想要 150 歲以下的喲你處於 150 到 199 之間的風險，你處於超過 200 的危險區域

and keep in mind mine are in the 50s and 60s but  with people who are truly at risk these numbers  

，請記住我的處於 50 和 60 之間，但是對於真正處於危險中的人來說，這些

for triglycerides can get into 500 800 a thousand  and then when they quote these numbers they often  

甘油三酸酯的數字可以達到 500 800 千然後當他們引用這些數字時，他們經常

say that don't blame yourself because there's  a lot of people with high cholesterol but don't  

說不要責備自己，因為有很多人膽固醇高，但不要

worry because we have medications that can get  you from the danger zone into the heart healthy  

擔心，因為我們有藥物可以讓你從危險區域進入心臟健康

zone but what if none of that is true what is if  they got it completely wrong and maybe instead of  

區域，但如果沒有怎麼辦這是真的，如果他們完全錯了，也許

blaming yourself you should celebrate your higher  cholesterol now please please keep in mind I'm not  

你現在應該慶祝你的高膽固醇，而不是責備

saying that higher is always better you could  be healthy with a high or a low cholesterol you  

could be sick with a high or a low cholesterol but  let's start understand how this works let's take a  

可能會因為高膽固醇或低膽固醇而生病，但讓我們開始了解它是如何工作的 讓我們來看看

look at what Nature has to say about it it's the  leading science journal in the world and here's a  

自然界對此有何評論這是世界領先的科學期刊，這是一項

study where they looked at the total cholesterol  relationship to all cause mortality meaning they  

他們研究總膽固醇的研究與全因死亡率的關係意味著他們

don't care what they died from they just did  a study and they saw how many people died and  

不關心他們死於什麼他們只是做了一項研究他們看到有多少人死亡以及

what were their cholesterol 10 years earlier so  this is what's called a prospective cohort that  

10 年前他們的膽固醇是多少所以這就是所謂的前瞻性隊列這

means they measure the results first and then  they look at the results later so they have very  

意味著他們首先測量結果然後他們稍後查看結果，因此他們

little influence when they measure it they don't  know who is going to end up doing what so they  

在衡量結果時幾乎沒有影響力他們不知道誰最終會做什麼所以他們

did 12.8 million people and this was basically  everyone in Korea every adult in Korea that came  

做了 1280 萬人，這基本上是韓國的每個成年人都來了

through their Health Care system that recorded  everybody for a period of time between 2001 and  

通過他們的醫療保健系統記錄每個人在 2001 年至 2004 年期間的一段時間，

2004 and then 10 years later they followed up  and they basically kept it really simple they  

然後在 10 年後他們進行了跟進，他們基本上保持非常簡單，他們

just saw how many people died and what were  their cholesterol 10 years earlier so 600  

只看到有多少人死亡以及 10 年前他們的膽固醇是多少，所以 600

000 people died which is kind of normal across  the population five percent of people died in 10  

000人們死亡，這在整個人口中是正常的 5% 的人在 10

years and then this was published in 2019 so it's  relatively recent now let me break this down and  

年內死亡，然後這是在 2019 年發布的，所以現在相對較新，讓我分解一下，

make it simple for you this graph shows the hazard  ratio the risk of dying with a baseline of one  

讓它成為對你來說很簡單，這張圖顯示了基線為 1 時死亡風險的風險比

so if you get up to two that means you doubled  your risk of death and if we look at this from  

，所以如果你達到 2，這意味著你的死亡風險增加了一倍，如果我們從

the highest level of cholesterol where you have  cholesterol of 300 we see that that increased the  

膽固醇的最高水平來看這個，你的膽固醇是300 我們看到那增加了

risk by 30 percent whereas a very low cholesterol  of 110 120 increased your risk by 230 percent so a  

30% 的風險，而 110 120 的極低膽固醇會使您的風險增加 230%，因此低

low cholesterol is eight times more dangerous than  a high cholesterol and I've had patients walk into  

膽固醇比高膽固醇危險八倍，我曾讓

the clinic with a cholesterol of 115 who were on  a Statin medication for many many years and when I  

膽固醇為 115 的患者走進診所，他們正在服用多年來一直服用他汀類藥物，當我

asked them why are you on a Statin they said well  the doctors think it's the best just in case so  

問他們為什麼要服用他汀類藥物時，他們說好吧，醫生認為這是最好的以防萬一，所以

they're taking a toxic medication that interferes  with the liver and get it down to a level where  

他們正在服用一種會干擾肝臟的有毒藥物，並將其降低到一個水平

the risk of death is eight times higher just  from the cholesterol not the medication itself  

僅僅因為膽固醇而不是藥物本身，死亡風險就高出八倍

and now let's superimpose that color scale  from the previous slide where the green zone  

，現在讓我們疊加上一張幻燈片的色標，在當前模型中，綠色區域

is lower in the mainstream in the current model  less cholesterol is always better they say but  

在主流中較低，他們說膽固醇越低越好，但是

when we see how the so-called safe Zone has the  highest risk of all cause death we got to start  

當我們看看所謂的安全區如何具有最高的全因死亡風險，我們必須開始

questioning that right and what they call the  danger zone over 240 anything over 200 is at risk  

質疑這一權利以及他們所說的超過 240 的危險區域，任何超過 200 的東西都處於危險

or in danger and that is where the curve is the  lowest that's the almost flat portion of the curve  

或危險之中，這就是曲線是最低的，也就是曲線幾乎平坦的部分，

where the lowest risk is what they call the danger  zone and if we blow up that portion of the graph  

風險最低的地方就是他們所說的危險區域，如果我們 稍微 放大圖表的那部分，

字幕列表影片播放

我在 7 天內吃了 100 個雞蛋：這就是我的膽固醇發生了什麼（I Ate 100 EGGS In 7 Days: Here's What Happened To My CHOLESTEROL）

absolutely

significant

diabetes

basically