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Many people see elevated cholesterol levels and panic — not only patients, but doctors as well. However, not everyone with high cholesterol automatically needs to take a statin. Before deciding on medication, we must evaluate the body’s metabolic profile and the insulin resistance index. One very useful marker is the Triglycerides-to-HDL ratio, which reflects the presence of small dense LDL particles. When this ratio is above 3, it indicates metabolic dysfunction, insulin resistance, and increas
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In this video, I walk you through how I actually think about cholesterol when I sit down with a patient. The number we focus on most is LDL - it’s the particle that builds up inside artery walls and forms plaque. Most heart attacks happen when that plaque suddenly ruptures and forms a clot, often before the artery was severely blocked. That’s why prevention matters even when you feel fine. But here’s what surprises people: two patients with the same LDL can have very different risks. That’s beca
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