Treating Two Types of Heart Failure: HFpEF and HFrEF In 2026

What Is Heart Failure? I get asked this every day.

Heart failure doesn't mean the heart has stopped working. Instead, it means the heart isn't pumping blood as well as it should. This causes fluid to build up in the body, leading to symp...

Comparing the ACC/AHA Guidelines To The European EAS Guidelines: Cholesterol Treatment

Just a few months apart, the Europeans and Americans have released Dyslipidemia Treatment Guidelines. They are getting closer to matching what myself and Dr. Thomas Dayspring published in 2023 in the Cholesterol ...

The Cholesterol Time Bomb: Why Young, Healthy People Still Get Heart Disease

Can young, healthy, metabolically pristine individuals get heart disease if all they have is high LDL? I get asked this question a lot and it has been tested and studied extensively.

What if you have no insulin resistance...

Does Berberine Work for Diabetes? Here's What the Science Actually Shows

If you've been researching natural approaches to managing type 2 diabetes, you've likely come across berberine. It's a compound extracted from various plants and has been used in traditional medicine for thousands of years. Su...

Your LDL Is Not a Snapshot. It Is a Running Total.

Let me ask you something. If your LDL came back at 110 mg/dL today, would you be worried? Most doctors would shrug. That number is not flagged. You might get a recommendation to watch your diet and come back in a year.

But here is the question you...

How to Lift for Strength, Muscle, and a Longer Life: What the Newest Science Actually Says

You already know that resistance training is good for you. But I want to talk about something more specific:

How to do it. Not just "lift weights" as a vague wellness suggestion, but the actual prescription....

The Dark Side of Being Fit: What Happens to Your Heart When You Exercise Too Much for Too Long

A major 2026 joint consensus from the European Society of Cardiology and the American College of Cardiology reveals that dedicated older athletes face a paradox: the very training that protects their hear...

Which Supplements Prevent Heart Disease? 

The SPORT trial, published in the Journal of the American College of Cardiology in 2023, is the first rigorous randomized controlled trial to pit six of the most popular cholesterol supplements head-to-head against both placebo and a low-dose statin. The re...

Why LDL Of 55 Is Better Than 70!

For years, cardiologists have debated a deceptively simple question: when it comes to LDL cholesterol, just how low should we go?

For secondary prevention patients, meaning people who have already had a heart attack, stroke, stent, bypass surgery, or any other mani...

The Debate Is Over Causality Is Over! LDL Causes ASCVD!

In cardiology, there are questions that deserve nuance, and then there are questions where the science has become overwhelmingly clear. This is one of them: LDL is not just associated with atherosclerotic cardiovascular disease. LDL is a cause...