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...

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....

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...