Dianna

Days like this. ❤️ #cycling

@lukascph Tour de Suisse, a WorldTour race in Switzerland, with Tadej Pogačar racing, and live coverage begins with only 63 km left in the Queen Stage. Surely we can do better than this. #TourdeSuisse

@summer366 Because there's no live signal yet anyway?

The men’s Queen Stage is happening right now, yet SRF is still showing lengthy studio segments and interviews. Why aren’t we watching the race? #TourdeSuisse

@JohnAllenBain @PuncheurCycling @faustocoppi60 The men’s Queen Stage is happening right now, yet SRF is still showing lengthy studio segments and interviews. Congratulations to the women’s winner, but why aren’t we watching the race? #TourdeSuisse

@PuncheurCycling @faustocoppi60 Everyone knows that the only real question is: when will the coverage start? Who knows? It's one of the last true mysteries in modern cycling.

Today's huge mountain stage in Tour de Suisse. ⛰️🇨🇭 The only question is where will Tadej Pogacar attack? 🤔 I'd say 56 km to go, the Tissot KM. Even if would be nicer to wait for the final climb and do it full-gas at 7,3 w/kg. #TourdeSuisse

@Drlipid Especially if you’re a non CRP responder and have an inflammatory autoimmune disease and they dismiss your concerns for years and call it osteoarthritis

Indeed, clinicians need to learn about GlycA, a better inflammatory marker than CRP

@markkaplan20 How many had prior high LDL before treatment, diet changes, or statins lowered it? Lifetime exposure matters. Did this study measure Lp(a)? High Lp(a) can drive atherosclerosis even when LDL appears normal. Also, LDL targets today are far lower than 130.

If LDL cholesterol caused heart disease, then people with heart attacks should have high LDL. That is basic logic. In 2009, Sachdeva and colleagues looked at 136,905 patients hospitalized with coronary artery disease across 541 hospitals. 75% had LDL below 130 on admission. Normal. Three out of four people who had heart attacks had the cholesterol number their doctor would have approved. Look at the chart. The red bars are the patients who had heart attacks with "normal" LDL. The gray bars are the ones with high LDL. The red bars are massive. The gray bars are tiny. My LDL was 120 when I had my heart attack. Right in the middle of the red zone. Sachdeva et al. American Heart Journal. 2009.

My statin thread reached over 460,000 people. Thousands of you asked the same question. "If cholesterol does not cause heart disease, then what does?" The answer has been published for years. In the largest risk factor study ever conducted. 27,939 women. 21 years. Published in JAMA Cardiology. Here is what they found. And here is why nobody told you. 🧵

Sometimes days are just magic. #cycling #switzerland

@MohammedAlo Elite athlete here. Fitness does all kinds of wonderful things but it’s not an invincibility cloak if you have extremely high genetic lp(a). Fitness won’t stop Lp(a) from accelerating plaque formation or causing an acute clot if that plaque ruptures.

🚨 81 scientific studies confirm that exercise is the most powerful cardiovascular drug ever discovered. Most cardiologists never prescribe it. But the data says otherwise. I am a cardiologist. I have seen patients reverse hypertension, cut their heart attack risk in half, and extend their lives by years. Not with a pill. With a structured exercise prescription. Here is what the science actually says. 💓 The cardiovascular data is staggering. ✅ HERITAGE FAMILY STUDY (aerobic training): VO2 max increased 17% in 20 weeks ✅ LOOK AHEAD TRIAL (lifestyle intervention): cardiovascular risk factors dropped significantly in patients who exercised consistently ✅ INTERHEART STUDY (physical activity): regular exercise reduced heart attack risk by 35% ✅ META-ANALYSIS OF 81 STUDIES (exercise as medicine): aerobic exercise reduced all-cause mortality by 31% and cardiovascular mortality by 35% That matters because no single drug on the market matches that mortality reduction across a population. 🔬 What exercise actually does to your heart: Lowers resting heart rate Reduces systolic blood pressure by 5 to 8 mmHg Increases stroke volume and cardiac output Reduces LDL and triglycerides Increases HDL Improves endothelial function and arterial compliance Reduces chronic inflammation Lowers visceral adiposity These are not soft endpoints. These are the exact mechanisms that kill you when they go wrong. 🩺 The exercise prescription the data supports: 150 to 300 minutes of moderate intensity aerobic exercise per week 2 to 3 sessions of resistance training per week Zone 2 cardio as the foundation. Think brisk walking, cycling, swimming at a pace where you can still hold a conversation. High intensity interval training added on top for VO2 max gains. Consistency over 8 to 12 weeks before you measure results. ⚠️ What most people get wrong: They treat exercise as optional. They start too hard and quit in two weeks. They skip resistance training entirely. They never track their resting heart rate or blood pressure to see the data working. ❌ A 30-minute walk three times a week will not cut it if you are high risk. ❌ Weekend warrior patterns will not replace daily movement. ❌ Cardio alone without resistance training leaves you metabolically exposed. "The tools with the strongest data are unsexy, free, and require your participation." A patient who commits to 180 minutes of aerobic exercise and 2 resistance sessions per week can lower their blood pressure by 7 mmHg and reduce their cardiovascular event risk by up to 35% in 12 weeks. That is the difference between managing disease and reversing it. ❤️ Bottom line: Exercise is not a lifestyle suggestion. It is the most evidence-backed cardiovascular intervention in the history of medicine. 81 studies. Hundreds of thousands of patients. The data is not ambiguous. Get your heart rate up 5 days a week. Lift weights twice a week. Track your resting heart rate. Give it 12 weeks. The question is no longer whether exercise helps your heart. The question is why your doctor has not written you a prescription for it yet. Are you treating exercise like medicine, or like an option? #Cardiology #HeartHealth #HeartDisease #CardiovascularHealth #ExerciseIsMedicine #VO2Max #CardiacRehab #MetabolicHealth #PreventiveCardiology #LifestyleMedicine

@BritToSwiss Beautiful! What is the clearance between the counter to the cabinets? Do you have one 60 cm refrigerator/freezer combo? Your home is timeless! I ❤️ it!

I’ve just realised that we’ve lived in our house for 10 years… which is the longest I’ve lived anywhere! I still love it as much as the day we moved in. Building a home with an architect was such a luxury. And I still love every bit, especially the kitchen.

@VeloMon_Cycling @100Climbs I’m not sure it’s just about better construction. Switzerland also maintains roads very proactively—often on a schedule—(budgets incentivize spending)so they rarely get the chance to deteriorate. On the flip side, constant roadwork isn’t always fun either. Still lovely to ride.

@100Climbs To be fair the descend yesterday wasnt all sunshine and rainbows. But a fun fact: The swiss build roads differently from most countries with better quality and durability

These Swiss roads are a dream. Why can’t we have nice stuff.

@CyclingWerewolf 🙏

@summer366 2x podium Hawaii Ironman? 👏

After a very hard winter… still keeping the passion alive. Heading up a very familiar Pico de las Nieves with a ton of happiness in my heart. Gran Canaria, you were exactly what I needed. #cylinglove

@richroll If you’re over 60 is it true muscle becomes less sensitive to protein?(“anabolic resistance”)and therefore one would need to go higher than 1.2g of protein? Do Endurance athletes that also strength train also require more protein as they age? Honest ?’s.

@Paddy_Barrett “Eat well and walk” doesn’t fix Lp(a). For millions, risk is genetic—and getting to “normal LDL” often requires more than lifestyle. Don’t forget the people lifestyle alone won’t help. Would love to see Lp(a) and ApoB testing included in these conversations.

The stuff that actually prevents heart disease is incredibly boring: • Walking • Eating well • Not smoking • Normal Blood Pressure. • Normal Non-HDL Cholesterol.

@DrBPHealth I was referring specifically to Lp(a), not FH. Lp(a) is genetic, largely unaffected by lifestyle, and elevated in ~20% of people—not ~1%. Worth distinguishing.

@summer366 I agree… but I would say that is ~1% of the population that fall into that category. For decades, it has been communicated that it is a much larger percentage than that.

Most people think heart disease is only genetic and they are destined for it. But genetics load the gun—lifestyle pulls the trigger. I've seen patients with "bad genes" reverse their risk by: • Eliminating seed oils • Reducing processed carbs • Managing chronic stress Your DNA isn't your destiny. Your daily choices are.

Winter in Switzerland. 🇨🇭

Gutted for @JooAlmeida98 🫶and Pellizzari. 🫡

Happy in the rain.

Sanetsch pass The Sanetsch is the finest pass you have never heard of! At 26km in length and with a difference in altitude of 1690m it will always remain one of my favorite’s! Cheers to a beautiful day.

@wildandhigh ha. Sounds like it, but no, I did not.

@summer366 Did you pick the half eaten baguette up on top of the mountain?

Vive la France! A discarded TdF L’equipe on top of a mountain, a half eaten baguette and 8’000+ ft of elevation gained made for a pretty fantastic day.