The National Lipid Association just issued a consensus recognizing ApoB as more precise than LDL-C and proposing specific therapeutic goals It´s only a matter of time before this becomes more widespread H/T Thomas Dayspring lipid.org/sites/default/…

45M new pt w/HLD, non-smoker, A1c 5.2, SBP 120; no FHx ASCVD; ischemic CVA & hospital told him he already had prior one on MRI & stented his carotid; CAC score of 0 last yr; what do the ‘see dz tx dz’ ppl say to that? Thomas Dayspring Dr. Spencer Nadolsky William Cromwell, MD Sam Tsimikas, MD Michael D. Shapiro

They keep telling me how smart Bryce is…for a guy nearly scrambling out of bounds to lose yards and completely missing blitzers, coulda fooled me Unnecessary Bluntness Owner/Coach/QB PNP John Ellis

If Canales can remain positive after this start, the guy needs his own congregation PNP John Ellis Unnecessary Bluntness Owner/Coach/QB Mike Kaye

Guess when you copy the AZ playbook of overlooking Wilks(and Evero) for our version of Kyler+Kliff you should expect the same timeline 😂 Unnecessary Bluntness Owner/Coach/QB PNP John Ellis

Y’all remember when Harbaugh wanted to come to CAR but Tepper didn’t give him the time of day? Unnecessary Bluntness Owner/Coach/QB PNP John Ellis Josh Klein

No president has ever proposed and passed a better healthcare plan. The ACA has doubled premiums and made it harder for Americans to get affordable plans,banning physician owned hospitals. Can we get Dutch Rojas and a panel of successful doctors,business people to make one?

Going to say it again… 1998 conversion factor for doctors - $36.68 2024 conversation factor for doctors - $33.29 1999 Insurance premiums - $6k 2024 Insurance premiums - $24k When you pay more for healthcare, it’s not coming from private, independent doctors no matter what

How does this guy know it and 99% of the population doesn’t? Why doesn’t every single medical practice have transparent and easily understandable prices? Why doesn’t every single practice have an e-commerce solution? Why doesn’t every single self-employer fulfil their

A day in #PCP life: -Pt 1: esoteric convo about ASCVD, hormones, exercise physiology -Pt 2: ‘mom’s (not my pt)knee does this when she moves, what do you think it is?’ -Pt 3: Uncont bipolar w/akathisia -Pt 4: toenail removal -Inbasket: 30 ppl asking why I didn’t answer w/in 24h

"Lipoprotein(a) and cardiovascular disease" review published today in The Lancet: 50 days' free access: authors.elsevier.com/a/1jlsNV-4XOtaS Please share and resend for others to download. Bottom line: measure Lp(a) in all once in a lifetime and stay tuned for coming Lp(a)-lowering therapy!

This is one of the most uncomfortable, but imperative issues we need to face as a society.

They missed on their LT and QB picks…then declined an interested Harbaugh…this is a special breed of incompetence John Ellis PNP Unnecessary Bluntness Owner/Coach/QB

this was the worst Bryce Young play of Week 2 3rd and 7 - this has to be a climb. Not an exit out of the back and run into a sack. Second phase to Thielen, since no one was open on the primary side, is the play to make here.

Notably, if your preferred social influencer doesn’t have a great grasp of the differences between plasma lipoproteins and molecular cholesterol, it might be time for a new social influencer

Watched this again today (as I tend to watch each of William Cromwell, MD ‘s vids on Gil Carvalho MD PhD🌈 ‘s channel at least 3-5 times) & I’m constantly amazed at how clearly he communicates complex physiology & statistics..incredible National Lipid Association youtu.be/Iyr-s-vkXm0?si… via YouTube

Had 2 pts this wk w/ LDLc >190 in the past. No mention of any discussion of FH, no appropriate treatment, no add’l risk stratification..what are we doing here? National Lipid Association Thomas Dayspring AAFP NCAFP ASPC

This is so true, I’m already an aggressive de-prescriber, but GLP1a’s and SGLT2i’s have allowed me to accelerate de-prescribing 20-fold Jefferson Peeples Dr. Spencer Nadolsky

Everybody get in on this so Dr. Spencer Nadolsky ‘s successful enough to need to take on a partner in a couple years 😆

Had 2 pretty crazy diagnostic catches this week…but still the best part of my week by far is watching my 6 y/o beam with pride after a goal in soccer practice, this is why quality of life in medicine is so paramount