#keto

nicknorwitz's profile picture

You know I like to ask provocative questions 🧐… Could a NEW 💊 DRUG for Fatty Liver impact LDL cholesterol in lean metabolically healthy people on a #keto diet? If so… HOW and what could we learn!? 👉 New exciting data in NEJM on a phase III trial for a thyroid receptor beta liver-targeting drug shows impressive results for reversing fatty liver In association, there are decreases in LDL-C, along with ApoB, ApoCIII, and even Lp(a) But what happens were we to put this same drug in a VERY different metabolic context? 🔨Would said drug hammer LDL-C in #LMHR into the floor simply because their LDL levels have so far to drop? OR could the opposite happen? ⚡️Could ramping up liver metabolism increase, rather than decrease, LDL-C in LMHR. I don’t know! But point being: CONTEXT, CONTEXT, CONTEXT. Just like OREO Cookie lowered LDL-C in #LMHR, when you change the metabolic context, sometimes you get surprising results And, it’s fair game to speculate (EMPHASIS: I AM SPECULATING) and pose bold ideas, provided we are CLEAR we can’t truly know the answers until we test. For more, see video: I, for one, think the NEJM data are promising for the indicated use case, and humbly share where my scientific mind ‘wanders’ when presented with these data, framed by my own field and interests NEJM paper: P.S. I know people are going to go "off" suggesting I'm recommending X, Y or Z or saying something about "dangers" of high LDL in #LMHR. I'm not. I'm just open-mindedly and transparently providing a provocative thought puzzle... if your emotions are stimulated, I did my job I suppose... if you let them get the better of you... that's on you 😜 cc Dave Feldman Adrian Soto-Mota (my #LEM bros!) William Cromwell, MD LipoFan Simon Hill MSc, BSc Matthew A. Nehs Dominic D'Agostino STEM-Talk

Nick Norwitz MD PhD

29,261 views • 2 years ago

No more content to load