Dr. Jonathan Fialkow indicates that a five-year study of KETO diet participants shows high LDL cholesterol does not necessarily correlate with heart disease, challenging existing beliefs.
Fialkow notes that the study reveals no association between cholesterol levels and coronary plaque burden, urging a more nuanced approach to cholesterol management in patients.
Fialkow emphasizes that patient risk assessment should be personalized, asserting that the long-held views on LDL as a heart disease risk may not be substantiated by current evidence.
He highlights the need to reconsider cholesterol markers in heart disease predictions, stating that 'the pushback comes from generations who believe fat is bad and cholesterol is bad'.
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