202: Dr Lily Johnston – The Other 59,000 Miles

Fabulously Keto

Dr Lily Johnston

Dr. Lily Johnston, MD, MPH, is the associate medical director for Nexus Healthspan, and is board-certified in both vascular and general surgery. Dr. Johnston received her MD from the University of California, San Diego; she completed her residency in general surgery at the University of Virginia in Charlottesville, and then completed a fellowship in vascular surgery at the Mayo Clinic in Rochester, MN. Dr. Johnston also has a Masters in Public Health from the Johns Hopkins Bloomberg School of Public Health in Baltimore, MD. She has authored over 25 peer-reviewed studies in cardiovascular disease, and has given numerous talks on topics ranging from vascular and metabolic health to cognitive biases in physicians.

After several years of practising vascular surgery full-time, she witnessed too many people losing their lives and limbs to preventable and reversible diseases. She has now dedicated her career to addressing the root cause of cardiovascular disease, and is passionate about bringing the principles of functional medicine and metabolic health to her patients. Dr. Johnston is an expert in complex cardiometabolic therapy including lipid management, therapeutic nutrition protocols, bioidentical hormone therapy, functional testing, and imaging.

Dr. Johnston is the founder of the Vascular Health Institute, and is a member of the Society for Vascular Surgery. She is an accredited metabolic health practitioner with both the Society of Metabolic Health Practitioners and the Nutrition Network, and she is currently pursuing advanced certification in functional medicine.

Link to Show Notes on Website

https://fabulouslyketo.com/podcast/202.

Dr Lily’s Top Tips

1. This is your body and your journeyn – no-one else can do this for you. It is your responsibility for moving forward.
2. Everyone is a snowflake and the best evidence is your N=1 experiment.
3. Seek out people in the scientific community, the online space and the medical profession who say “I don’t know” – don’t give up on people who have changed their perspective or their ideas – see it as a huge asset, a sign of humility, curiosity, growth, and compassion, not weakness, confusion or lack of knowledge.

Resources Mentioned

For the varicose vein supplements, the best studied options are ruscus extract, micronised purified flavonoid fraction (MPFF), and horse chestnut extract. The evidence for these and the European Vascular Society’s recommendation to consider their use for symptomatic relief can be viewed here (section 3.3): https://www.ejves.com/article/S1078-5884(21)00979-5/fulltext#secsectitle0225

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Connect with Dr Lily Johnston on social media

LinkedIn: https://www.linkedin.com/in/ljohnstonmd/

Website Details:

https://www.vascularhealthinstitute.org

https://www.n