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In this compelling discussion, vascular surgeon Dr. Lily Johnston joins Dr. Philip Ovadia to share her journey from traditional surgical practice to metabolic health advocacy. After years of amputating limbs for diabetic patients who received poor nutritional guidance, Dr. Johnston couldn't unsee the devastating consequences of our healthcare system's approach to metabolic disease. She explains how surgeons fix anatomical problems without addressing the underlying metabolic dysfunction that causes blood vessel disease throughout the body. Dr. Johnston discusses how therapeutic carbohydrate reduction, hormone optimization, sleep quality, and stress management create better outcomes than surgery alone. She shares personal insights about her own health transformation through low-carb nutrition and her decision to create a practice balancing surgery with preventive care. The conversation reveals how traditional heart and vascular surgeries are temporary fixes that don't address root causes, leaving patients vulnerable to recurring problems. This interview bridges the gap between conventional medicine and functional approaches to metabolic health, offering hope for those looking to avoid major surgical interventions through targeted lifestyle modifications. BIG IDEA Surgeons like Dr. Johnston and Dr. Ovadia have recognized that vascular and cardiac surgeries are temporary fixes—like placing buckets under a leaky roof rather than repairing the roof itself—and are now focusing on metabolic health interventions that address the root causes of disease. Lily Johnston MD contact info Websites: www.vascularhealthinstitute.org nexushealthspan.com LinkedIn: / ljohnstonmd Metabolic Health Quiz: iFixHearts.com Follow Dr. Ovadia: Twitter: @iFixHearts Website: OvadiaHeartHealth.com #metabolichealth #vascularsurgery #diabetesreversal #preventivemedicine #lowcarbdiet #cardiovasculardisease #SurgicalPrevention #HormoneOptimization