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On this episode of NextGen MD, I’m joined by vascular surgeon Dr. Lily Johnston for a clear, patient-centered conversation about plaque types in arteries and why understanding them matters. We walk through the different kinds of plaque Dr. Johnston actually sees in practice — soft (lipid-rich) plaque, fibrous plaque, and calcified plaque — how each one forms, how they behave differently, and why some plaques are more unstable than others. We also address common patient questions about cholesterol “patching” artery damage, endothelial injury, LDL particles, artery remodeling, plaque stability, and whether plaque can ever be reduced or stabilized without surgery. This episode is designed to help patients and clinicians alike better understand what’s really happening inside the artery wall — and why the words we use to describe blockages matter. For more information on peripheral artery disease, patient education, and support: 🌐 www.PADhelp.org 📞 PAD Leg Saver Hotline: 1-833-PAD-LEGS ▶️ Watch more episodes: / @thewaytomyheart ▶️ Subscribe to Dr. Johnston's Youtube Channel @lilyjohnstonmd #NextGenMD #PeripheralArteryDisease #PAD #Atherosclerosis #PlaqueTypes #VascularHealth #CirculationMatters #HeartHealth #LimbPreservation #PatientEducation #VascularSurgery