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...

Reducing Triglycerides And Remnant Cholesterol By 70% Showed No Effect On Plaque

A brand-new trial just presented at ACC 2026 is turning heads in cardiology, and not necessarily for the reason you'd expect. Researchers gave patients a powerful new drug that cut their triglycerides by nearly two-thi...

No Studies Show Berberine Lowers Cardiovascular Risk

There are no published randomized controlled trials demonstrating that berberine reduces major adverse cardiovascular events (MACE), cardiovascular mortality, or all-cause mortality. This represents a critical evidence gap: while berberine improv...

The Triglyceride Paradox: Why Lowering Triglycerides Hasn't Reduced Heart Disease

Most people get this wrong.

There are many ways to lower triglycerides, but most of them do not improve cardiovascular outcomes. However, there are a few things we can do to improve cardiovascular outcomes. We are go...

All-Cause Mortality Is Not Always the Best Standard for Preventive Medicine

Every day on social media I get asked, "But what about all-cause mortality?". These Medfluencers and Healthfluencers seem to think that unless a study shows a reduction in All-Cause Mortality (ACM), then it is not a good st...

Treat Cholesterol, Earlier, Sooner, More Aggressively

For decades, we've accepted heart disease as an inevitable part of aging. Your grandfather had a heart attack at 60. Your father needed a stent at 55. Now you're wondering if you're next. But what if I told you that heart disease isn't actually ...

The 60 mg/dL Threshold: What the Science Really Says About LDL Cholesterol and Plaque Formation

For decades, the medical community has debated what constitutes an "optimal" LDL cholesterol level. While current guidelines recommend targets below 100 mg/dL for most people and below 70 mg/dL for high-...