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In this video, I walk you through how I actually think about cholesterol when I sit down with a patient. The number we focus on most is LDL - it’s the particle that builds up inside artery walls and forms plaque. Most heart attacks happen when that plaque suddenly ruptures and forms a clot, often before the artery was severely blocked. That’s why prevention matters even when you feel fine. But here’s what surprises people: two patients with the same LDL can have very different risks. That’s beca
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New cholesterol guidelines just dropped. Big changes: • LDL treatment targets are back • Risk assessment starting at age 30 • Lp(a) screening recommended at least once • ApoB highlighted as a key marker • Expanded use of coronary calcium scoring And one thing notably missing: No HDL targets. No cholesterol ratio focus. No recommendation to raise HDL. The theme: identify risk earlier and reduce lifetime exposure to atherogenic lipoproteins. What do you think about these changes? #familymedicine #
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