New Cholesterol Guidelines Personalize Risk and Add Treatments – JAMA 2019 Feb 6

New Cholesterol Guidelines Personalize Risk and Add Treatments – JAMA 2019 Feb 6

In the new guidelines, statin treatment targets are back for both primary and secondary prevention. Patients whose 10-year risk of ASCVD is 20% or more should try to reduce LDL-C levels by at least 50%, the same goal as for people with clinical ASCVD. Those with more intermediate risk should aim for at least a 30% decrease. The new update was met with considerably less controversy than the last incarnation, which deemphasized LDL-C treatment targets and introduced the AHA/ACC ASCVD risk calculator. The updated guidelines and a companion AHA/ACC special report on risk assessment tools acknowledge that the calculator estimates risk for an average

Whole-Fat or Nonfat Dairy? The debate continues – JAMA 2018

Whole-Fat or Nonfat Dairy? The debate continues – JAMA 2018

Forty year ago US federal government recommended first recommended that everyone except young children opt for low- fat or nonfat dairy products over high-fat dairy products as part of an overall goal of reducing saturated fat intake and calories. However recent studies have suggested that high-fat milk, cheese, and yogurt are at least as healthful as their low-fat or nonfat counterparts, and their authors are questioning the wisdom of advising people to avoid whole milk and products made with it. Just as the evidence suggests that not all food sources of saturated fats—ie, animals, plants, and dairy—are the same, neither