Ghost Foot
1.9K posts

Ghost Foot
@Gh0stFoot
Guilt free, traditionally masculine, rugged individualist. Strong people are harder to kill, and more useful in general.
Beigetreten Aralık 2023
96 Folgt34 Follower

Arizonans are tired of election conspiracies and lies that undermine our democracy.
Arizona’s elections are free, fair, and secure, which numerous lawsuits and even the Arizona Senate’s “audit” into the 2020 election results have confirmed. The FBI’s reckless actions are an attack on Arizonans and undermine our rights as voters.
I protected our democracy as Secretary of State, and I will always stand up against election deniers and fight to protect the integrity of Arizona’s elections.

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@nicknorwitz Even if the results are repeated across multiple populations, total cholesterol of ~230 is the sweet spot for ACM is strongly supported by numerous studies. You're trading a 3% risk reduction of death by CVD for an INCREASED risk of death of literally everything else
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There’s been a lot of engagement and curiosity around the new Ez-PAVE results for intensive lipid lowering. Here are a few observations and some questions worth asking.
First, the headline: intensive lipid-lowering therapy led to a 33% relative risk reduction (HR 0.67) and, more notably, a 3.1% absolute risk reduction in major adverse cardiovascular events (MACE)—including cardiovascular death, heart attack, stroke, revascularization, and hospitalization for unstable angina—over three years.
Pause there. If that effect is real, it’s impressive. But it also raises some important questions.
1. How much of this effect is actually attributable to LDL lowering?
The difference in LDL between groups was modest: a median of 56 mg/dL vs. 66 mg/dL.
A ~10 mg/dL delta leading to a >3% absolute reduction in MACE over three years is a large effect size—and not one that feels immediately biologically intuitive.
Is there a threshold effect at play? Something nonlinear about risk reduction at lower LDL levels? Or are we seeing effects beyond LDL itself?
2. Is there something unique about the population?
This was a South Korean cohort. Could there be population-specific factors—genetic, environmental, or metabolic—that make individuals more responsive to modest lipid reductions or to the pleiotropic effects of the therapies used?
3. Who actually benefited?
One under-discussed point: the benefit appears to be driven almost entirely by men.
There was no clear evidence of benefit in female participants (HR 1.22)
Yes, the cohort was male-skewed—but if you look at the hazard ratios, the signal is coming from men. That raises an important caution: these results may be prematurely generalized to populations (particularly women) where the data simply don’t support it.
At present, the strongest evidence here applies to South Korean men. Question: Does the effect generalize?
4. What about the therapies themselves?
“Intensive lipid lowering” wasn’t a single intervention—it included a spectrum of medications, each with distinct mechanisms and potential off-target effects. All of these should be considered for management of any individual patient… obviously.
This includes off-target “good” effects, and off-target “bad” effects.
As one case in point of additional “good” effects, take ezetimibe. Early data suggest potential neuroprotective benefits entirely independent of lipid management. I'm choosing to highlight a examples of a non-lipid pleiotropic "good" effect so no one can accuse me of 'cherry-picking,' but the point remains: this is more than a "lower LDL is better" story. It always was. It always will be.
It’s sad, honestly, that when data like these come out the gut reaction is to shallowly wave a “lower is better” flag and attack the “LDL deniers” and “keto-zealots” in the name of virtue-signaling evidence-based medicine. It’s almost cultish behavior. In many cases, the shallowness of commentary reveals an almost intentional ignorance or, at minimum, a deficit in curiosity of what's actually going on in different human populations.
Bottom line: These are interesting and potentially important data. They deserve thoughtful discussion—not dismissal. But simply waving the flag of “lower is better” isn’t a sufficient or rigorous interpretation of what’s actually going on here.
We should be asking better questions.
@realDaveFeldman @ApoDudz @AdrianSotoMota

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What this article tries to present as "human behavior" is actually human FEMALE behavior.
Men don't withhold affection as a punishment strategy. That's exclusively the behavior of women.
geediting.com/j-a-y-psycholo…
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Greasy @GavinNewsom can't answer a straightforward question. He tries fast talking his way out, but we see you Governor Hair Gel.
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@RupertLowe10 How's that diversity working out for the UK?
Somewhere in between Malaysia and South Africa it seems.
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If you only watched @NBCSports coverage of the winter Olympics, you would think the US didn't even send any men this year...
All they're showing is women's curling and those birds are in like 6th place.
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this seems a bit of an unfair comparison as it compares an urban area to a whole country. a more apt comparison might be paris vs warsaw.
after running that analysis, the point still stands that paris has become far more dangerous than comparable polish cities.
the gap is no longer as large, but still remains highly significant.
i added another couple of categories (assault and rape) and we see the same pattern of "multiples higher" there.

Michael A. Arouet@MichaelAArouet
There were times when people considered Poland dangerous, with cars being stolen, etc This chart is simply amazing, the difference between Poland and the greater Paris area. Poland is extremely safe, while some parts of European cities have become unlivable. How did this happen? Ht @charliesmirkley
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@CAgovernor That way the cartels have an easier time finishing their hits? You're the worst. No amount of hair gel can make you human you lizard man.
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@Rightanglenews When immigrants demand you assimilate to THEIR culture, instead assimilating to YOURS, that's a sign you're being CONQUERED.

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@joeroganhq WTF is going on with his eyes? He looks like he's medicated to the gills.
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