@derekweyhrauch_md: It’s up to you… Here I share the lifetime example that I use with my patients in preventive clinic. - Get educated. Be proactive. Protect yourself from misinformation by arming yourself with real knowledge and by working with real experts, not pretend ones. You can save your own life.  - #d#doctorm#medicineh#healthw#wellnessprevention - Disclaimer: The contents of this video are for informational purposes only and are not intended to be medical advice, diagnosis, or treatment, nor to replace medical care. The information presented herein is accurate and conforms to the available scientific evidence to the best of the presenter/author’s knowledge as of the time of posting. Always seek the advice of your physician or other qualified health provider with any questions regarding any medical condition. Never disregard professional medical advice or delay seeking it because of information contained in this channel/post.

derekweyhrauch_md
derekweyhrauch_md
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Wednesday 19 August 2026 00:50:37 GMT
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seansocal
Sean :
Couple years ago my LDL was at 159. My doctor said if I hit 165 he’s gonna have to put me on meds. Now I fluctuate between 128 and 132.
2026-08-20 04:39:01
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sureokaywhatever
sureokaywhatever :
It says high on my chart but my doctor doesn’t think so
2026-08-20 05:05:15
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hollar_girl
Phoenix & Fern :
so should I get tested for this. here is my results from my first lipid test... Triglycerides- 78 Total cholesterol-231 Good cholesterol- 57 LDL-C -158 NON-HDL-C-174 I'm reallt shocked by these number and kinda scared
2026-08-20 02:16:49
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canadagoose2022
canadagoose2022 :
The specific numbers you used seem far fetched. LDL of 130 and Lp(a) of 130 aren’t going to cause a heart attack at 48 for most people absent other risk factors.
2026-08-19 04:15:56
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cbh1000
cbh1000 :
130 is not high enough for this kind of fear mongering doctor plz.
2026-08-20 03:04:05
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user2906182
Nunya 🇺🇸 :
What if your ApoB is very high and Lp(a) is low
2026-08-19 07:39:54
2
jjmmvv23
jjmmvv23 :
58 year old, CT scan was 100, I started Pitavastatin LDL is down to 111 should I add Zetia or go right to Rapatha ? Thank you
2026-08-19 13:43:02
2
susan39908
Susan :
Sad that those of us on Medicare are struggling to pay for these expensive life prolonging drugs. Repatha and other drugs should be affordable. My Repatha was $715 a month till I met my deductible. I now pay $129 monthly till Jan 27. Add this drug cost to the other copays and I barely have money left to pay my bills. Medicare and supplemental insurance needs an overhaul!
2026-08-19 09:30:34
3
erichansen243
Badwulf61 :
What if your LPa is <8.4 while your VLDL is 42 ant LDL 214
2026-08-20 01:13:26
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goodtimes262
goodtimes26 :
lpa of 130 mg/dl or 130 nmol?
2026-08-19 04:38:08
2
williamjmckeown
williamjmckeown :
Interesting-what units are you using here?
2026-08-19 01:00:35
1
ifnotnowthenwhen3
user4601567819108 :
Everybody says there is nothing that can lower Lp(a), its very depressing. It’s all about Lp(a).
2026-08-19 03:05:40
3
shawnhughes45
Chris_H :
Great message overall… But there’s some nuance and some things I would like to tweak. If you have Lipo protein, literally that’s elevated or high, the best thing to do is to get on a statin regimen of Crestor , Zetia, and Repatha. My lp(a) is 88mg, high. But… my ldl is 21 and apob is 34. Drive down all modifiable risk that you can… Even with high lipoprotein little a… You can put yourself in a better position the most people, your age. 💪🏻
2026-08-19 10:10:50
4
djacobs90comcast
Momo4 :
Im taking 20mgs Crestor 3x a week. i started with an LP-a of 160 when I first started Crestor of 5mgs 3x a week. When Crestor was increased to 10mgs my LP-a went up to 201 even though my LDL went to 80!!! Now im ready to have labs for the 20mgs. What's happening????
2026-08-19 13:18:51
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trauma.bae
trauma bae md :
2026-08-19 02:02:30
3
jerseystan1
JerseyStan :
Excellent video
2026-08-19 03:31:24
3
aquatrax
Mike Zona :
45 , ldl is 174 and my lpa is 167, calcium score of 1 . Just got a statin , havnt started it yet. Too bad nothing to fix lpa yet.
2026-08-19 08:28:41
2
highrewardinvestor
Savvy Investor :
So how do you lower LP(a)? This should be interesting.
2026-08-19 05:06:18
2
frustrated008
frustrated008 :
I did have a 1st HA with LDL of 153 and LPa of 91. 2nd with LDL of 75. I know some ppl can have 2-3 times that and don't have HAs.
2026-08-19 04:46:48
2
joe.bob9993
Joe Bob :
What new drug specially affects Lp(a)?
2026-08-20 02:42:52
1
cageandkrow
CageandKrow :
80s??? Damn that’s going to be 💀
2026-08-19 02:42:08
1
ridgeandravine
Julian Hoskins :
Any thoughts on baby aspirin and lp(a)?
2026-08-19 04:41:13
2
lizardking006
Lizardking :
Not everybody that takes the drug has benefit, only a percentage do, this is called the number needed to treat, or NNT for statins depending on the study it’s around 155, this means 155 people have to take the drug to prevent one adverse event. Sadly, these drugs have some pretty bad side effects like for example increasing your risk of of diabetes, impairing mitochondria function, and others. So what you should say about the graph above is that 155 people have to take the drug and one person will prevent bad outcome. The way this is stated makes it sound like every person taking the drug Will prevent the bad outcome which is just not true..
2026-08-19 21:44:59
1
cageandkrow
CageandKrow :
I found out recently that I carry the gene lp(a) and it’s at 144 my total cholesterol has never moved in 6+years 248 LDL 130 . I seen some research on red yeast rice and COQ10. Thinking of trying that.
2026-08-19 02:43:35
1
ferrariafter50
Ferrari :
This is the best video explaining the critical action needed for LPa. Mine is 215 but I am taking Repatha & Nextlizet and my ldl is now 27. I am also in a clinical trial for the new LPa drugs
2026-08-20 00:23:11
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