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There is so much new Medical information I receive every day and I am anxious to share the most useful information with you. I will post new practical information relevant to you and your family and friends once per week. Fortunately I have access to a wide variety of the latest data and expert opinions on many topics related to health and wellness.

I welcome your opinions and questions and requests for information on health topics of interest to you.

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What's the magic number for LDL "bad" Cholesterol?

31,692 patients in Israel with coronary artery disease were treated to lower their LDL levels. The patients were 30-84 years old and observed for 1 year during 2009-2013. The study was looking for adverse heart events such as heart attack. The results showed that LDL levels between 70-100 mg/dL had 11% lower major heart problems than those with LDL of 100.1-130.0. Also the study showed no decrease in cardiac events when the treated LDL level was lower than 70.0 mg/dL. In fact, in a larger study the results showed a slight increase in major heart events in the lower LDL group.

The take away message is that the accepted idea that the lower the LDL for patients with coronary artery disease the better is, from the results of this study, not true.

Each patient should be managed on an individual basis. The risk and benefits of the proposed treatment should be reviewed with the patient. In this study they used statin treatment. Many patients have statin side effects or just don't want to take statins. There are many other non pharmaceutical ways to bring fats in the blood under control.

In medicine, as in life, one size does not fit all. Make sure you are not put in a pigeon hole. Ask questions until you are comfortable. After all, it's your life.

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