Matthew C. Weiss

@scotchipman @NWSSaltLakeCity @KSL_Matt @ChaseThomason @weathercaster @chris_tomer Thanks! That’s helpful!

@MatthewWeissMD @NWSSaltLakeCity @KSL_Matt @ChaseThomason @weathercaster @chris_tomer Unfortunately there is no clear cut definitive answer. The attached maps show the typical pattern for each scenario which doesn't always verify.

El Niño doesn't increase the chance of a wet winter in Utah except when it's very strong which forecasts are hinting at for 26-27. Chart is the last 4 very strong El Niño yrs which shows a correlation to a wet winter. #utwx @NWSSaltLakeCity @KSL_Matt @ChaseThomason @weathercaster

More work to do! #cvprevention

@NWSMissoula 👎👎

tally up another one for Missoula! Now 20 days at or above 50° for the winter season. 80% likelihood for another 50 degree day tomorrow in pursuit of day 21!

🚨 Missoula Record 🚨 The Record: Most 50°+ days during meteorological winter. The Margin: The record was shattered completely in early Feb; it wasn't even close. The Stat: 22% of all days this winter hit 50° or warmer. Kalispell: 8 days at or above 50°, tied 1st place. #MTwx

@drjohnm John- longtime listener, first time commenting. If one’s BP is 160/90, you don’t treat it if no other comorbidities? Just wait and treat after the stroke?

Based on my recent X posts, it seems risk-based treatment scores are out. Who knew? Just treat LDL-c no matter the other risk factors🤷🤷

@liftblog @ChossUSA @Telluride You called it!

@ChossUSA @Telluride Followers of Lift Blog have known about this possibility for months :)

On the blog: Facing a Strike, @Telluride Announces Complete Closure liftblog.com/2025/12/24/fac…

@NWSMissoula Too bad it wasn’t snow!

🌧️ IMPRESSIVE PRECIPITATION TOTALS 🌧️ Over 70 locations reported 1 inch or more! partnerservices.nws.noaa.gov/products/cache… 📈Here are the highest totals: 🔹 Poorman Creek (Cabinet Mtns): 6.70" 🔹 North Fork Jocko (Mission Mtns): 5.10" 🔹 Kelly, ID (Clearwater Mtns): 5.02" #mtwx #idwx

Well said. Always wonderful (and not surprising) to see this repeatedly reiterated. Still too many deniers out there! 🫀

@pnatarajanmd @AHAScience 100% agree. It’s been an amazing tool and a wonderful part of our preventive arsenal!

When I was a medical student, I vividly recall taking care of very very sick patients with acute pancreatitis in the ICU. Remarkable to see how APOC3 inhibition (here, olezarsen) is now shown to be a highly effective therapy for severe hypertriglyceridemia, esp among those with prior pancreatitis to reduce risk for acute pancreatitis (NNT 20 for all and 4 for those with prior) & yield remission (up to ~50%) for hypertriglyceridemia. Congrats @marstonMD @TIMIStudyGroup! nejm.org/doi/full/10.10… #AHA25 @NEJM

@silver_skier @kapowder @ozskier @liftblog @Riddle_Lincoln @tech_rob @StormSkiJournal Patagonia makes this bag every few years. It’s super durable. I’ve taken it all over the world. I own a second one just in case patagonia.com/product/black-…

hi ski friends- need recommendations for ski bag - for 1pair skis and 2pr skis - looked at sporttube and dakine - @kapowder @ozskier @liftblog @Riddle_Lincoln @tech_rob @StormSkiJournal

@raywongy Bummer! Was hoping the wider Plateau would “fix” this…

iPhone 17 Pro table wobble test! Does it pass? Let’s find out! #AppleEvent

Proud to have trained here too! 🙌🫀

Thankful everyday to have learned from some of the best!

@rblument1 @TLeucker @MichaelJBlaha @CiccaroneCenter Progress. The next version will reduce the >300 cut off. +CAC is secondary prevention. 🫀

LDL-C Targets Based on Coronary Calcium: Advancing Figure 6 from the ACC Expert Consensus Decision Pathway - insightful article by Drs. Seme Burka, Ehimen Aneni, ⁦@TLeucker⁩ ⁦@MichaelJBlaha⁩ ⁦@CiccaroneCenter⁩ #🥍🫀⚽️⚾️🎾🏊🏼‍♀️🏃‍♀️🏀 sciencedirect.com/science/articl…

@liftblog That standard Poma one looks quaint compared to the more modern ones from the smaller industry players, no?

Gondolas on gondolas.

@liftblog Any good engineering anecdotes to share about these lifts? There must be expected yearly glacial retreat/ shift that’s pre designed into the lift. Like the original team at big sky, for example.

Lifts pinned into glacier 🧊

@Lpa_Doc I make sure to include this slide in every lipid talk I give. Very powerful to demonstrate the parallel data across Mendelian randomization and RCTs!

Here you go, this represents hundreds of thousands of study subjects in rigorous well designed trials. Ference et al Eur Heart J 2017. Everyone can plot their own "average" risk on this graph. 1 mmol/L = 38.67, so 2.5 mmol/L is about 100 mg/dL. Bottom line; risk for CVD at population level (not individual level per se) is proportional to "walking around" LDL-C, but risk is higher if you had a prior event. Of course the issue is one cant predict risk with certainty at individual level. If we could then we would not need to treat so many people. Maybe some day we will be better able to define risk at individual level to "personalize" therapies, but I suspect not in next 1-2 decades.

@Drlipid @NutritionMadeS3 Was a great analysis. Thanks for sharing. The initial lay person/ media messaging of this draft paper is unfortunately harmful to the public perception of the pros/ cons of keto diets…

A great listen where @NutritionMadeS3 discusses the recent keto Trial. He interviewed the only expert whose name is on the paper and it seems as if Dr Buddoff had never read or signed off on the paper written by a lipid-untrained citizen scientist and medical student. He seemed to be making up answers on the fly. Gil's analysis was spot on, and all should listen to the last 4-5 minutes with Gil's concluding thoughts. I do not see how JACC is ever going to accept even a rewritten attempt. As Gil noted the LMHR crowd has long endangered public health. Time to stop.

@Lpa_Doc Thanks @Lpa_Doc for sharing. Just got the first patients in Montana on olezarsen. Look forward to watching.

Proud to have helped the first patient in Montana receive olezarsen (#tryngolza), an ASO apoC-III inhibitor for Familial Chylomicronemia Syndrome (#FCS). #triglycerides #lipids #preventivecardiology 🫀 @BillingsClinic (Posted w permission)