Heart Disease Is Optional? The Truth About Health, Habits, and Longevity | Ep 261 with Dr. Hosen Kiat

9 Sep 2025 · 16 min

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Founder's Story: Episode 261 - Heart Disease Is Optional? The Truth About Health, Habits, and Longevity

Podcast Overview Title: Founder's Story Description: A mission-driven podcast showcasing entrepreneurs who have demonstrated resilience and creativity in their leadership journeys. The show features both well-known figures and lesser-known founders making a significant impact.

Episode Summary Guest: Dr. Hosen Kiat The episode challenges the myth that aging necessarily leads to decline, proposing instead that aging is malleable and can be positively influenced through lifestyle choices. Dr. Kiat shares insights on health, prevention, and the intersection of modern cardiology with traditional medical practices.

Key Discussion Points

  • Myth of Aging:
  • Common belief: "You’re getting old, expect decline."
  • Counterpoint: Aging is plastic; biology can be modified through healthy habits.
  • Healthy Habits:
  • Emphasizes a Mediterranean diet: fewer processed carbohydrates, more plant-based foods, and light cooking.
  • Importance of regular movement: "Any movement beats none."
  • Stress management and restorative sleep are crucial for heart health.
  • Social connections are vital; loneliness poses cardiovascular risks comparable to smoking.
  • Misinformation and Medical Decisions:
  • Patients often come with misconceptions from social media (e.g., the need for a stent with a 70% blockage).
  • Encourages patients to verify medical advice and check credentials before accepting social media claims.
  • Preventative Focus:
  • Current focus of Western medicine on acute care rather than prevention.
  • Advocates for integrating time-tested traditional practices with modern medical approaches.
  • Necessary assessments for individuals in their 30s and 40s: blood pressure, glucose, lipids, inflammatory markers, and family history.

Takeaways

  • Healthspan vs. Lifespan:
  • The quality of life (healthspan) can be improved through daily small habits, such as:
  • Regular walking.
  • Mindful eating.
  • Managing stress effectively.
  • Prevention Strategies:
  • Emphasize the need for preventive care early in life to avoid serious health issues later.
  • Build healthy habits gradually and consistently to promote long-term heart health.

Closing Thoughts Dr. Kiat presents a hopeful perspective on aging, emphasizing that decline is not inevitable but a product of choices regarding health and mindset. He advocates for taking proactive steps in health management to ensure a fulfilling and longer life.

Additional Resources

  • Visit [Dr. Kiat's Website](https://www.drkiat.com/) for more information on his philosophy and practices.
  • Follow him on social media for insights on health and longevity.

Final Remarks The episode highlights the importance of combining modern medical practices with traditional wisdom and emphasizes the need for personal responsibility in health management. By fostering healthy habits and a proactive approach to health, individuals can significantly impact their longevity and quality of life.

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Transcript

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0:04So Dr. Kiat, this topic is really near and dear to me because I've had a lot of personal experiences with people in my family who have had issues passed away. things like that. Plus, as I'm now in my 40s, it's really something that I'm thinking about. But I'm very curious, Ron, what would you say is one lie that the medical system tells us about aging and health? Yeah, I'm not sure whether it's a lie, but it is such an easy misconception for people to swallow is that their doctors often tell them, well, Jeff, you're getting old. You should expect your memory, your vitality, your strength to decline.

0:46And people often just swallow this. But in fact, in fact, aging is plastic. Biology is absolutely modifiable. My mom, 96, she's living in LA. She walks for an hour, 96, for an hour every day, rain or shine. Not that it rains a lot in LA. But she would walk, doesn't matter what the weather is, how hot it is, she would walk. And this is despite the fact that at the age of 93, she had a hip surgery. And that is something. Today, for example, I had two Zoom meetings in the morning, and this is one of the three interviews that I'll be doing. And this morning, the last thing in my mind was going to the gym.

1:36So I had this life strategy called mind overdrive. And I've talked about that in my book, Wisdom from Two Worlds. This mind overdrive made me go. So yeah, I didn't do my 95 kilo bench press, but I did enough volume to keep my muscles warm. But these are the sort of things that we can do at any age if we have towards healthy habits. These are healthy habits. Once we're into that habit, in fact, we can live a lot longer with vitality, with strength, and hopefully our memory continues to be as sharp as ever. And my mom's memory is as sharp as when to us 40. Wow, I only dream of being in my 90s and still have the sharpness of how I am in my 40s.

2:34I'm a little bit nervous because I don't have as many healthy habits as I need to. So can you walk me through what are some of the healthy habits that you do? Then you know what healthy habits are, obviously healthy eating Mediterranean food, less fatty foods, less fried foods, more raw and lightly cooked meals instead of heavily sort of fried, deep fried stuff. So these are all the healthy habits. Less refined or ultra-refined carbohydrates. Less meat. Stick to more plant-based foods. And then, of course, regular physical activities, what we call movement. Any movement is better than none. Sleeping well.

3:20Stress strategies. Everyone has stress, but we just somehow have to manage that stress. So all these things, staying connected, for example, loneliness is as risky as smoking, for example. So staying connected, being in an environment that you're not socially isolated is a very important thing to do. So these are what we call healthy living and healthy habits. And these two words, healthy habits, will keep you hopefully living longer, but more importantly, living healthier. So as we discussed earlier, medicine should be more about preventing disease instead of treating disease. I like that mindset.

4:14I like that mindset about prevention rather than treating because I feel like once you get to the treating phase, it's pretty miserable because you're already suffering from something. I have this feeling that social media could potentially be an extra cause of isolation. It makes a lot of less people. It makes a lot of people less social. But then I also see a slight danger. And there's a lot of health advice that I've seen given that are not from people that have any expertise. How do people in the medical profession look at that? Yeah, I guess social media can be a plus or minus. And more and more, we are challenged.

4:58Our patients come to us with knowledge, so-called knowledge, information from social media. I have a brilliant influencer. She and her husband came to see me. Her husband has about 70 % narrowing in one of the blood vessels of his heart. She just blatantly said to me, he needs a stent. I said, why? Because everyone knows. She said, everyone knows if you have 70 % blockage, you need a stent. I said, how so? She said, well, it's a social norm. You know, every social media will tell you this. So everything, you know, everything that she looked at, she said, would tell her that. But you see, when you ask, who are these people who say this?

5:52What are their credentials? Of course, she couldn't tell me. And I'm sure that I said to her, I'm sure they were not professors of cardiology who say this. so that's a classic example and of course he didn't have a stent yeah there's like this thing going around about not using sunscreen and that sunscreen causes can't and this is really wild stuff so i had to get a dermatologist and say like okay what do you think because for me i go to people that have real world expertise because anyone can go on social media and say something like you said, I thank you for that example. How do you see this old world meets new world, this healing around cutting edge science meets ancient wisdom?

6:39Because I am very interested to learn more about this. I'm Western trained, so I practice Western medicine. But more and more, I can see that while Western medicine is very, very good in a good heart attack, we really save lives there because we can put the stent in. We can do acute bypass surgery and save the patients, people with severe infection. We can treat them, people who basically collapse. We can give them resuscitation and intubation and so on. So yes, Western medicine is very good in more acute medicine. But when it comes to prevention, a lot we have to respect the traditional medicine which has stood the test of time, that they work in creating, living in harmony in your body with nature.

7:34So in my book, Wisdom from Two Worlds, I mention an example, and this is a widely known knowledge that you can Google, in fact, as well. So during the Vietnam War, American soldiers in Vietnam were in fact suffering from a lot of tropical infections. And of course, they've got the best antibiotics, but you couldn't really pump antibiotics all the time. And so guess what? They in fact got from mainland China stockpiled of this traditional Chinese medicine called Pian Zai Huang in Chinese, which is in fact a concoction of several things, netto ginseng and deer mask and ox bile, etc., which has been around since the Ming dynasty.

8:33and has been used as an antibiotic, antiseptic for thousands of years. But they're slow. They cannot treat acute septicemia. But they're very good when people are in a place that they just keep getting recurrent infections. And that's how East and West meet without boundaries, basically. They would still have the antibiotics. if they have an acute septicemic condition, but they would be taking this bian zai huang all the time to prevent the chronic festering infections. Wow, you know, I had an issue before with me and I went to so many doctors, they couldn't figure it out. And I looked at, I don't know why, I just was reading about Chinese medicine.

9:25And the wild thing is the Chinese medicine told me to look at was the actual issue. And that blew me away. That's why I was very interested to learn more because basically, you know, five doctors couldn't tell me what it was. Chinese medicine told me what it was and I was able to resolve it. So I'm really interested about about that. And thank you for thank you for sharing. And I love I love the book that you have. I wanted to go back to stress. I feel like, you know, the last few years during covid, just in general, if you're an entrepreneur and business owner, that there's always a tremendous amount of stress.

10:03And many times you're not sleeping. You're doing probably the two terrible things for you. And I think I've read it. Stress is the new smoking. And so how much do you think this actually can take away from us if we're A, not sleeping, and B, we're overstressed? Yeah, so modifiable risk factors of health, basically, are broadly categorized into physical and non-physical, and stress obviously in the non-physical risk factors. The problem with stress, in fact, we were just discussing this earlier today, stress can be objectively quantified, but a lot of people, when they talk about stress, is the other part of stress, which is the thing that is out of their mindset, which cannot be quantified.

11:00So I was just explaining, if you and I, Dan, we go and do the same video game and the score is exactly the same after 30 seconds, you may feel very stressed of the outcome because you didn't score 100%. I may have been celebrating because of the outcome because I thought, wow, you know, I did pretty well. And my stress level and your stress level at that time would be different. You would feel a bit more anxious because you didn't get it. Well, I felt okay. But the quantifiable stress, which you and I, the CPU was the same, dealing with this stress for 30 seconds and getting, say, the same outcome.

11:54but your stress level that you perceive as stress is different from mine. So that sort of stress is not quantifiable because it is completely out of your perception. So if someone cut in front of you when you're driving, you may feel very stressed and angry. The same thing that happened to me or the same thing that happened to you for another day because you're in a good mood, It didn't stress you at all. I like that. I need to adjust reactions, right? If stress, I don't have to stress if I don't want to stress based on the reactions that I can have, which could potentially maybe give me a longer life that I'm healthier.

12:42So thank you for that. I'm going to start. I need to focus on that. I need to do more meditation and yoga because sometimes I find myself stressing and it could be because I'm not sleeping. I have a question about a test. So when you look at maybe or you think about people over the age of 30, 40, is there a specific test that you think that they should go to their doctor and get today? Sure. For heart tests, certainly at the age of 40, most people should have a baseline cardiac assessment. And that always will start with doctor checking what your risk factors are from genetics, from family history, from your blood pressure.

13:26you're based on blood sugar, you're based on cholesterol, you're based on inflammation markers, whether you have got signs of chronic infections like chronic gingivitis, chronic sinusitis, all this chronic inflammation will drive risk factors of heart disease. So these are all interview and physical examination and basic pathology studies. Now, based on that, then your doctor may go further with more specific tests. That's for the cardiac side. For example, like Aaron, our lead friend who died at the age of 40, I'm almost certain he felt well. He never went to a doctor probably for anything. And so his cholesterol could have been sky high, but no one knew.

14:19Yeah, 10 years ago, my mom was on a hike. She was in her mid-60s at that time. Very healthy. My whole life, she always ate very healthy, mostly vegetables, fish. While she was on this hike, she hiked like 10 miles every day. She had a heart attack while she was hiking. and she and then when they I think it was I don't know that percentage of blockage was very high and she was shocked and I was shocked because she never had any issues super healthy always did the right things but you know genetically um you know she couldn't escape but the good thing was she was healthy after and obviously the heart attack was very mild so you know but potentially I'm sure it could have been a lot worse um so I'm very passionate about this too if if people want to get in touch with you, they want to read the book, how can they do so?

15:07Definitely www.drkiat.com. D-R-K-I-A-T.com. And you can also follow me on YouTube. Well, Dr. Kiat, I really appreciate your time. I was talking earlier when we jumped on about, you know, how many things you have behind you really shows a lot about your credibility and your expertise. And I'm glad there's people like you who are being more vocal because a lot of us are getting our information from social media, from people that have no real world expertise, which we talked about. So I think it's very important what you're doing. And I hope that, you know, millions of people can read and can learn, and maybe this will help them with their prevention.

15:54But thank you so much for joining us on Founders. Thank you, Sam. And that's why I did go on the social media now because I feel that it's about time that I help this credibility in the standard of the social media. The world needs you. The world needs you. Thank you so much for all that you do.

From the publisher

We open by challenging a midlife myth: “you’re getting old, expect decline.” Dr. Hosen Kiat counters that aging is plastic—biology is modifiable—illustrated by his ninety-six-year-old mother’s daily hour-long walks after hip surgery and his own “mind overdrive” routine that gets him training on days he least feels like it. The conversation locates prevention where he believes true healing lives: at the meeting point of modern cardiology and time-honoured medical traditions. He explains why Western medicine excels at acute saves (stents, bypass, resuscitation) but underinvests in prevention, and how his Wisdom from Two Worlds philosophy—and his platform at DrKiat.com—helps patients pair evidence-based care with practices that build harmony and resilience over decades.

Key Discussion Points:
The episode maps the levers that truly add healthy years: Mediterranean-leaning meals with fewer ultra-processed carbs and deep-fried foods; more plants and lightly cooked dishes; routine movement (“any movement beats none”); restorative sleep; and trainable responses to stress. He distinguishes measurable load from the stress we manufacture in our interpretation—two people can finish the same task with identical results yet feel completely different based on mindset—so part of heart health is training reactions. Social connection isn’t optional either; loneliness, he notes, carries cardiovascular risk comparable to smoking, making community a medical issue, not a luxury. On misinformation, he shares a clinic vignette: a couple arrives certain—thanks to social media—that a 70% blockage “needs a stent.” It didn’t. The point isn’t to shame patients but to restore standards: ask for credentials, weigh evidence, and individualize decisions. For listeners in their thirties and forties, he outlines the first medical mile: get a baseline cardiac assessment and labs, review family history, blood pressure, glucose, lipids, inflammatory markers, and signs of chronic infection; then tailor further testing with your physician.

Takeaways:
Healthspan bends to habit. Train what you eat, how you move and sleep, how you meet stress, and who you stay connected to, and biology follows. Prevention is the main event: marry cutting-edge cardiology with proven traditional practices, treat community as medicine, verify before you medicalize social-media advice, and get a baseline assessment in your forties so you’re not flying blind. Most importantly, start small and daily—one walk, one better plate, one calmer reaction—repeated until they become identity.

Closing Thoughts:
Dr. Kiat’s message is disarmingly practical: decline isn’t a sentence but a series of choices. If you build “healthy habits” and guard your mindset, your heart—and your years—change course. Prevention today is the price of freedom tomorrow.

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