Normal LDL but You Have Plaque. Was Something Missed?
3.5K views · Sep 23, 2026 · Education
Comments · 19
@raajei28 · 6 days ago
Excellent Presentation. Great Visuals. Thanks
@MrCljp24 · 14 hours ago
Hello Dr, as a Type 1 diabetic with my pancreas producing no insulin, how does insulin resistance apply to someone like me; or does it.?
@kiartinitikun · 4 days ago
My tri 41, ldl 250 😅 I might live 10 more years
@cmtwei9605 · 4 days ago
My LDL-C fasting and non-fasting had been around 85mg/dL for 10 years before I had angina and needed PCI and stenting. The images showed a section of endothelium peeling off like a wallpaper rather than a typical plaque protuding into the lumen. Can you explain what's happening and why.
@loonwengfatt1416 · 5 days ago
LDL is not the villain, it is the high triglycerides coupled with low HDL that alters the quality of these LDL particles. It shrinks them into small, dense LDL particles, which are highly prone to getting stuck in artery walls and causing plaque
1
@AlanReid-q9x · 6 days ago
The study shown has no way of showing that LDL causes CHD or any risk of developing CVD, and you imply it does its nonsense. The Womens health study shows LDL almost no cause in CVD compared with diabetes that is a huge risk..
@Citizenthirteen · 2 days ago (edited)
The problem is your industry and family doctors have this bizarre notion that an LDL of 90-120 is " NORMAL" That's ridiculous . As infants we have an LDL of 30-50 typically . THIS IS NORMAL . Not 100 . Anything over 50 will give you a yearly increase in your plaque burden . Modern meds can get almost everyone there but of course people will protest that the big pharma bogeyman is out to get them . LOL. We are our own worst enemies. But seriously doc , you need to change the mentality that those very high LDL levels are normal. They are not . I went plant based 100% and take 20mg Crestor and my LDL is less than 50 consistently . Why ? My LPa is sky high . All we can do is slam down all the other risks to hopefully compensate . The Pelacarsen trial just failed , so it doesn't look good for new LPa drugs . But it also makes me question whether this is an issue at all. You almost completely remove LPa and still get cardiac events at the same rate ? How can that be ? The science of LPa is not as clear cut as LDL . Stay tuned .
@DCGreenZone · 6 days ago
Abnormal insulin, metabolic syndrome.
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