Date: 31/01/2020 13:15:41
From: buffy
ID: 1493598
Subject: Blood cholesterol

OK, knowing how much poik loves systematic reviews…I’ve never heard of this take on the goodness/badness of LDL cholesterol before. It’s British Medical Journal. Should be reliable.

https://bmjopen.bmj.com/content/6/6/e010401

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Date: 31/01/2020 13:51:28
From: buffy
ID: 1493638
Subject: re: Blood cholesterol

And there’s a rabbit hole to go down there if you pursue the references in that paper. I don’t think I’ll do it right at the moment.

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Date: 31/01/2020 19:40:58
From: mollwollfumble
ID: 1493924
Subject: re: Blood cholesterol

buffy said:


OK, knowing how much poik loves systematic reviews…I’ve never heard of this take on the goodness/badness of LDL cholesterol before. It’s British Medical Journal. Should be reliable.

https://bmjopen.bmj.com/content/6/6/e010401

And there’s a rabbit hole to go down there if you pursue the references in that paper. I don’t think I’ll do it right at the moment.

My knowledge of medicine is extremely limited. Which cholesterol is supposed to be good cholesterol and which is supposed to be bad cholesterol?

> High LDL-C is inversely associated with mortality in most people over 60 years. This finding is inconsistent with the cholesterol hypothesis (ie, that cholesterol, particularly LDL-C, is inherently atherogenic). Since elderly people with high LDL-C live as long or longer than those with low LDL-C, our analysis provides reason to question the validity of the cholesterol hypothesis.

Are they trying to say that if your body survives with high LDL-C up to age 60 then you have to be healthier than normal?

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Date: 31/01/2020 21:39:48
From: buffy
ID: 1493984
Subject: re: Blood cholesterol

HDL is the good one (I think of it as h for “happy” cholesterol). It strips out plaques from the LDL (the bad one) in your blood vessels.

I stand to be corrected if I’ve got that wrong.

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Date: 1/02/2020 17:54:06
From: buffy
ID: 1494391
Subject: re: Blood cholesterol

I just went back to reading some of where this took me. I wasn’t actually looking for “The Cholesterol Controversy” – I didn’t even know it existed. But it’s fascinating and quite heated!

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Date: 1/02/2020 17:59:19
From: poikilotherm
ID: 1494398
Subject: re: Blood cholesterol

buffy said:


HDL is the good one (I think of it as h for “happy” cholesterol). It strips out plaques from the LDL (the bad one) in your blood vessels.

I stand to be corrected if I’ve got that wrong.

“Some of the participants with high LDL-C may have started statin treatment during the observation period and, in this way, may have added a longer life to the group with high LDL-C and some of them may have started with a diet able to influence the risk of mortality.”

fkn derr…they could have removed all those patients but no…

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Date: 1/02/2020 18:05:25
From: poikilotherm
ID: 1494409
Subject: re: Blood cholesterol

Also, it’s now fairly well known that regardless of cholesterol levels, statins reduce the risk of all cause mortality in those with risk factors.

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Date: 1/02/2020 18:07:14
From: sibeen
ID: 1494411
Subject: re: Blood cholesterol

Is there any agreement that statins can cause cramping and muscle soreness?

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Date: 1/02/2020 18:09:41
From: poikilotherm
ID: 1494413
Subject: re: Blood cholesterol

sibeen said:


Is there any agreement that statins can cause cramping and muscle soreness?

Yea, but you could just be a sook.

JAMA

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Date: 1/02/2020 18:14:23
From: buffy
ID: 1494420
Subject: re: Blood cholesterol

poikilotherm said:


Also, it’s now fairly well known that regardless of cholesterol levels, statins reduce the risk of all cause mortality in those with risk factors.

So is that part of the inflammation theory? Which also seems to want a look in.

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Date: 1/02/2020 18:15:10
From: sibeen
ID: 1494423
Subject: re: Blood cholesterol

poikilotherm said:


sibeen said:

Is there any agreement that statins can cause cramping and muscle soreness?

Yea, but you could just be a sook.

JAMA

:)

I actually had severe cramping before I knew it could be caused by statins. Changed the brand and dosage and big emprovement but I still think it effects me.

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Date: 1/02/2020 18:16:07
From: poikilotherm
ID: 1494425
Subject: re: Blood cholesterol

buffy said:


poikilotherm said:

Also, it’s now fairly well known that regardless of cholesterol levels, statins reduce the risk of all cause mortality in those with risk factors.

So is that part of the inflammation theory? Which also seems to want a look in.

Yea.

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Date: 1/02/2020 18:17:01
From: buffy
ID: 1494426
Subject: re: Blood cholesterol

And then sometimes you get a laugh out of a paper:

“The trial was terminated early due to futility.”

The ACCELERATE trial

https://www.acc.org/latest-in-cardiology/clinical-trials/2016/03/29/22/34/accelerate

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Date: 1/02/2020 18:18:40
From: poikilotherm
ID: 1494433
Subject: re: Blood cholesterol

buffy said:


And then sometimes you get a laugh out of a paper:

“The trial was terminated early due to futility.”

The ACCELERATE trial

https://www.acc.org/latest-in-cardiology/clinical-trials/2016/03/29/22/34/accelerate

Poor Roche, they try so hard.

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Date: 1/02/2020 18:20:03
From: ChrispenEvan
ID: 1494436
Subject: re: Blood cholesterol

poikilotherm said:


buffy said:

And then sometimes you get a laugh out of a paper:

“The trial was terminated early due to futility.”

The ACCELERATE trial

https://www.acc.org/latest-in-cardiology/clinical-trials/2016/03/29/22/34/accelerate

Poor Roche, they try so hard.

there is a limit after which they breakdown i ‘spose.

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Date: 1/02/2020 18:21:16
From: buffy
ID: 1494440
Subject: re: Blood cholesterol

poikilotherm said:


buffy said:

poikilotherm said:

Also, it’s now fairly well known that regardless of cholesterol levels, statins reduce the risk of all cause mortality in those with risk factors.

So is that part of the inflammation theory? Which also seems to want a look in.

Yea.

You know, probably 30 odd years ago a friend of mine who is a retired pathologist (he was still working then) told me that he felt medicine was going to eventually find that nearly everything is inflammation.

:)

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Date: 1/02/2020 18:24:43
From: buffy
ID: 1494446
Subject: re: Blood cholesterol

poikilotherm said:


buffy said:

And then sometimes you get a laugh out of a paper:

“The trial was terminated early due to futility.”

The ACCELERATE trial

https://www.acc.org/latest-in-cardiology/clinical-trials/2016/03/29/22/34/accelerate

Poor Roche, they try so hard.

Actually, I skipped a whole section in the latest Sci Am because it was “produced independently with support from Roche”. I’ll probably go back to it, it’s on AI and Digital Health “How artificial intelligence will change medicine”. But I’m not sure I’m interested enough.

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Date: 1/02/2020 18:26:02
From: Michael V
ID: 1494448
Subject: re: Blood cholesterol

ChrispenEvan said:


poikilotherm said:

buffy said:

And then sometimes you get a laugh out of a paper:

“The trial was terminated early due to futility.”

The ACCELERATE trial

https://www.acc.org/latest-in-cardiology/clinical-trials/2016/03/29/22/34/accelerate

Poor Roche, they try so hard.

there is a limit after which they breakdown i ‘spose.

LOL

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Date: 1/02/2020 18:28:48
From: sibeen
ID: 1494455
Subject: re: Blood cholesterol

ChrispenEvan said:


poikilotherm said:

buffy said:

And then sometimes you get a laugh out of a paper:

“The trial was terminated early due to futility.”

The ACCELERATE trial

https://www.acc.org/latest-in-cardiology/clinical-trials/2016/03/29/22/34/accelerate

Poor Roche, they try so hard.

there is a limit after which they breakdown i ‘spose.

Jaysus, that was erudite.

Come on, who stole Boris’s handle?

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Date: 1/02/2020 18:33:39
From: ChrispenEvan
ID: 1494470
Subject: re: Blood cholesterol

sibeen said:


ChrispenEvan said:

poikilotherm said:

Poor Roche, they try so hard.

there is a limit after which they breakdown i ‘spose.

Jaysus, that was erudite.

Come on, who stole Boris’s handle?

see, this is what keeps you reading my posts, you may miss a good one…

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