
YoHeheExde
966 posts









I interviewed one of the most controversial MDs on the internet @paulsaladinomd He exposed the 9 biggest lies the health industry sold you and every single one is making you fatter, weaker & sicker (THREAD) Lie #1: "Sunscreen prevents cancer''












ACC vs EAS Guidelines 🚨 The cholesterol guidelines just changed and here's what you need to know. The U.S. just released its biggest update since 2018, and Europe updated theirs too. Both are now more aggressive, more personalized, and more aligned than ever. 📊 New risk calculator. The U.S. now uses the PREVENT equations, which estimate your 10-year AND 30-year heart risk. Younger patients who look "fine" on short-term risk may actually need treatment now. 🎯 LDL targets are BACK in U.S. guidelines. If you've had a heart attack or stroke, your LDL goal is under 55 mg/dL. Not "lower." Not "better." Under 55. And if you're not there, escalate your treatment. Under 40 for repeat offenders. 🫀 CAC scores now have a formal treatment ladder. Score of 300? Treated like someone who already had a heart attack. Score of zero? Reasonable to hold off on meds and recheck in 3-7 years. (I disagree here) 🔬 Lp(a) testing is now a top-level recommendation for ALL adults, at least once in your lifetime. 1 in 5 people carries elevated levels and has no idea. It dramatically raises your risk of heart attack and aortic valve disease. Ask your doctor for it if it has never been checked. 💊 New drugs enter the picture. Bempedoic acid is now formally recommended for people who can't tolerate statins. Inclisiran, a twice-yearly injection, enters U.S. guidelines for the first time. And olezarsen gets a top-tier recommendation for severe triglyceride disorders. 🚫 Supplements for cholesterol? Both the American AND European guidelines now formally say no. Fish oil, red yeast rice, berberine, garlic, turmeric, plant sterols. None of them lower LDL meaningfully. The SPORT trial proved it head to head against a low-dose statin. Save your money and talk to your doctor. ⏰ Treat earlier. For adults in their 30s and 40s with high LDL and a strong family history, waiting until your 10-year risk looks scary is waiting too long. Atherosclerosis builds silently for decades before it strikes. Your checklist: ✅ Get your Lp(a) checked ✅ Know your LDL goal ✅ Ask about a CAC scan if you and your doctor are on the fence about starting medication ✅ Skip the supplements ✅ If you have heart disease, LDL under 55 mg/dL is the target dralo.net/blog/acc-eas

Lower LDL targets = Higher rates of dementia.

























