Thanks for sharing. I agree with your points about cancer screening and Alzheimer’s. I do like Attia’s push for LP(a) and APOb tests for heart disease as I’ve personally found them helpful for my family. He seems to be the first to admit how intense he is but there’s still a lot to glean from his work. Discernment is a practice in and of…
Thanks for sharing. I agree with your points about cancer screening and Alzheimer’s. I do like Attia’s push for LP(a) and APOb tests for heart disease as I’ve personally found them helpful for my family. He seems to be the first to admit how intense he is but there’s still a lot to glean from his work. Discernment is a practice in and of itself and doing so with this work has proven helpful for me. I appreciate your insight as well.
I agree with you completely Maggie. I tried to indicate that I agree with much of what he says, but did not give these specifics for the sake of brevity. I agree that Lipoprotein(a) is a very important test, especially for anyone with a family history of cardiovascular disease. Although there is no direct therapy for elevated Lipoprotein(a), I believe that this should lower one's threshold to start a statin and aim for a lower LDL goal. There is no direct evidence for this strategy (more aggressive statin therapy in the setting of high LP(a)), but it seems very reasonable to me. And on that note, I do agree with Dr. Attia that we should not dismiss these sorts of reasonable strategies, just because we don't have direct evidence. But I do try to be straightforward when I do this ("Unfortunately, your LP(a) is elevated, and we don't have any treatments to directly lower this risk, but since cardiovascular risk factors are additive, I think your elevated LP(a) should encourage use to be more aggressive with the factor that we can control....").
Incidentally, I am trying to read and respond to as many of these comments as possible, because I really am honored that people have taken the time to read my article and engage with me. However, my bandwidth is limited, and right now it’s hard to spend time doing anything other than reading the news from Israel
Thanks for sharing. I agree with your points about cancer screening and Alzheimer’s. I do like Attia’s push for LP(a) and APOb tests for heart disease as I’ve personally found them helpful for my family. He seems to be the first to admit how intense he is but there’s still a lot to glean from his work. Discernment is a practice in and of itself and doing so with this work has proven helpful for me. I appreciate your insight as well.
I agree with you completely Maggie. I tried to indicate that I agree with much of what he says, but did not give these specifics for the sake of brevity. I agree that Lipoprotein(a) is a very important test, especially for anyone with a family history of cardiovascular disease. Although there is no direct therapy for elevated Lipoprotein(a), I believe that this should lower one's threshold to start a statin and aim for a lower LDL goal. There is no direct evidence for this strategy (more aggressive statin therapy in the setting of high LP(a)), but it seems very reasonable to me. And on that note, I do agree with Dr. Attia that we should not dismiss these sorts of reasonable strategies, just because we don't have direct evidence. But I do try to be straightforward when I do this ("Unfortunately, your LP(a) is elevated, and we don't have any treatments to directly lower this risk, but since cardiovascular risk factors are additive, I think your elevated LP(a) should encourage use to be more aggressive with the factor that we can control....").
Incidentally, I am trying to read and respond to as many of these comments as possible, because I really am honored that people have taken the time to read my article and engage with me. However, my bandwidth is limited, and right now it’s hard to spend time doing anything other than reading the news from Israel
I understand and appreciate your time. 🙏