Because Good Medicine Deserves Better Explanations
Not long ago, I saw a 58-year-old man who had done “everything right.” His LDL cholesterol (LDL-C) was well controlled on a statin, his blood pressure stable, and he exercised regularly. But he carried extra weight around his waist, his triglycerides were persistently high, and a CT scan revealed clear signs of atherosclerosis in his … Read more
Sometimes, the most dangerous number isn’t the one your doctor talks about. While LDL-cholesterol (LDL-C) steals the spotlight in most lab reports, it’s not always the best predictor of cardiovascular risk. Hidden in plain sight is a more powerful marker: non-HDL cholesterol (non-HDL-C)—a measure that captures all the cholesterol carried by atherogenic, plaque-building particles, not … Read more
The TG/HDL-C Ratio in Clinical Context For decades, cholesterol has been the headline act in our understanding of heart disease. High LDL-cholesterol (LDL-C) — the so-called “bad” cholesterol — was cast as the main villain, while HDL-cholesterol (HDL-C) earned praise as the “good” kind. Statins became the blockbuster therapy, and LDL-C targets the cornerstone of … Read more
The role of low-density lipoprotein cholesterol (LDL-C) in the evolution of heart disease is fairly well established. In addition, the benefits of pharmacological treatment with agents that lower LDL-C in high-risk patients are well documented. Lipoproteins are biochemical structures that enable the transport of lipids such as cholesterol in the circulation. LDL-C represents the amount … Read more
An important question in clinical medicine is when to treat descending testosterone levels in men when there is no underlying cause other than advanced age. Most men want to live to a ripe old age. But this could come at a price. We may have to depart with masculinity and vigor. Manliness may become a … Read more