Michelle Routhenstein, MS, RD, CDCES, CDN, is a preventive cardiology dietitian and founder of Entirely Nourished, a virtual nutrition practice focused on helping people improve their heart health through personalized, evidence-based nutrition.

With more than 14 years of experience in cardiovascular nutrition, Michelle helps clients address cholesterol, blood pressure, inflammation, blood sugar, insulin resistance and other cardiometabolic risk factors. Her work focuses on preventing and managing conditions including heart disease, heart failure, atherosclerosis and atrial fibrillation while translating complex science into practical, sustainable strategies. Michelle earned her Bachelor’s and Master’s degrees in Clinical Nutrition from New York University and previously worked in New York City hospitals managing complex medical cases. She serves on the Forbes Health Advisory Board and the Medical Advisory Committee for the National Menopause Foundation and is the author of The Truly Easy Heart-Healthy Cookbook and Simple Meal Solutions for High Blood Pressure. Her expertise has been featured in Forbes Health, Fox News, Women’s Health, Prevention, GLAMOUR, Good Housekeeping and other major outlets.

Today on the show, we discuss why the ketogenic diet may accelerate plaque formation, why ApoB and other overlooked blood markers matter for heart disease risk, how blood pressure and sodium can affect your arteries, the truth about fiber caffeine alcohol and energy drinks, why exercise alone cannot fully protect your heart and how genetics supplements medications and nutrition all play a role in preventing cardiovascular disease and much more.