pt after mi ldl below 55 can be obtain with statin and pck 9 inhibitor comfotably if insurance covers pck inhibitor
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goal after cardivascular surgery is to get ldl below 55 without side effects on statins,if it cannot be achieve on statin alone,add zetia,or pck 9 inhibitors or nexlizet
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Post-MI lipid management includes a discussion about LDL targets and use of high-dose, high-potency statins and behavioral/lifestyle changes to attain LDL goal. Reevaluation of lipids 3 months later commences with additional methods to lower LDL introduced then, as needed and this may include additional medications.
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post mi, I am part of the team that gets consulted on lipid management as well as a nutrition consult is generated. If LDLc is not within guidelines of AHA or NLA ( at least less than 70 mg/dl) I add PCSK9i for LDLc normalization as well as plaque regression post MI leaving the maximally tolerated statin plus/minus ezetimibe on board .
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Effects of exercise and dietary interventions on asprosin, leptin, and lipid metabolism in males with abdominal obesity, a randomized controlled trial - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/39548289/
Addressing abdominal obesity requires multifaceted strategies, with physical activity and diet playing a pivotal role. The objective of this study was to assess alterations in body composition, adipokine concentrations, insulin...
In men with abdominal obesity, combining exercise with a high-protein, low-glycemic diet produced greater reductions in body fat, adipokines, insulin resistance, and cholesterol, outperforming exercise alone.
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