In this episode of YOU: The Owner’s Manual, Dr. Michael Roizen speaks with Dr. John Chuback, a board-certified cardiovascular surgeon and founder of the Chuback Vein Center. Dr. Chuback discusses the often overlooked yet widespread issue of venous disease, how modern treatments have evolved, and what people can do to protect their vascular health.

Key Points:

Venous disease is more than a cosmetic issue—it's a real, chronic condition with significant impact. With proper awareness, prevention, and minimally invasive treatment, patients can regain comfort and mobility.

• Vein Disease Is Serious and Common: Chronic venous disease affects 40–50 million Americans and causes more workday loss than peripheral artery disease. Despite being under-recognized, it leads to ulcers, infections, and major quality-of-life issues.
• Minimally Invasive Treatments Have Transformed Care: As open-heart surgeries declined due to advances in cardiac interventions, Dr. Chuback shifted focus to innovative, outpatient treatments for venous disorders, making care safer and more accessible.
• Gravity Is Not Our Friend: Because humans stand upright, gravity puts constant pressure on leg veins, leading to valve failure and venous hypertension. This pressure can trigger inflammation and complications like dermatitis or leg ulcers.
• It’s Mostly in Your Genes: Venous insufficiency is strongly genetic. If a parent had varicose veins or ulcers, you’re at higher risk—possibly even as a teenager.
• Prevention Starts with Compression: Graduated compression stockings help counteract gravity and support vein health. They’re recommended for anyone standing or sitting most of the day—from surgeons to office workers.
• Supplements Can Support Vein Health: Dr. Chuback advocates for MPFF-based supplements (from citrus rinds), backed by 40+ years of clinical research. These help reduce inflammation and support both venous and lymphatic systems.