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Dr. Suzanne Steinbaum on Choosing the Right Statin for High Cholesterol



DocWire News recently spoke Dr. Suzanne Steinbaum, cardiologist, published author, and womens’ wellness advocate. Dr. Steinbaum discussed:

Treatments for high cholesterol, like statins, as an option to consider as part of a patient’s cholesterol management.
Knowing what statins are available on the market.
The importance of an individualized approach when choosing the right statin medication.
How she works with her patients to create a plan for their cholesterol management.

DocWire News: How big a problem is high cholesterol in the U.S.?

Dr. Suzanne Steinbaum: High cholesterol is one of the major issues that we have in the United States. We know that heart disease is the number one killer of men and women in the US. And that’s due to the risk factors of heart disease, which includes high blood pressure, and diabetes, and high cholesterol. And that’s just one of our major problems.

How big a role does statin therapy play in regulating cholesterol levels?

There’s about 11 million people who have recently been put on statins when our new guidelines came out. And those new guidelines stress the importance of getting our cholesterol down. And for many people, statins is a huge part of that.

How important is an individualized approach when choosing a patient’s statin medication? 

It’s so important for us to really look at each patient separately and individually when we make decisions about statin medication. Not all medications are the same. And so, it’s essential that we look at our patients and understand there are multiple different statins available. Age, whether or not there’s diabetes, they’re on other medications, all of these things become important in making that decision.

What differentiates all statins on the market?

Well, not all of them are the same and they have different side effect potential. And when we look at some with multiple medications, who’s over the age of 65 with diabetes, we look at all the statins out there and say, “Okay, which one’s best for this person?” And this is a situation, Livalo is one of the statins, which has a less side effect profile in that particular situation. So as a physician, I would choose Livalo instead of other statins. When you look at another patient, they might not have the same profile, but we certainly have to look at the big picture of who the individual is when we make those decisions.

How do you personally work with your patients to create a plan for cholesterol management?

It is so important, and I can’t emphasize this enough, that patients talk to their doctors. We really talk about lifestyle management. We talk about diet, and exercise, and how to make the healthiest choices for them every day based on their food and their movement. But then we also do talk about medications and we talk about the potential of side effects. I always say to people, you have to partner with your physician. And if you have side effects on a statin, don’t stop in it. Talk to your doctor first, really have that communication because, as I said, there are multiple different statins. And depending on who you are, and if you’re on multiple medications, or you have risk factors, or you’re over 65, there might be a better statin for you than the one that you’re on.

Any closing thoughts?

I think that one of the things that we all have to remember, especially because when we look at the United States and what’s going on, and we look at these risk factors, we think about hypertension, diabetes, and high cholesterol. And we think about the fact that heart disease is the number one killer. Many people are on multiple, multiple medications, and there is the potential for side effects and interactions with all these medications. When it comes to statins, and we really look at that group individually, there are statins, there is something like Livalo that has the potential to have less side effects with the other medications. And as I said before, the most critical piece of this is talking to your doctor, going through your list of medications, going through all the lifestyle choices you’re making, and talking side effects and the potential options. And I think having that relationship and advocating for yourself is a critical, important piece of this whole conversation.

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In Greece, Unvaccinated People Ages 60 and up Now Face Monthly Fines



The nation imposed the new mandate on Monday as it looks to bring its vaccination rate closer in line with the EU average. The unvaccinated will face penalties starting at 50 euros, or roughly $57.

(Image credit: Thanassis Stavrakis/AP)

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Drones Over Nuclear Power Plants Attract Attention From Spy Agency



Sweden’s domestic intelligence service is looking into drones spotted hovering near three nuclear power plants last week

The Swedish Security Service confirmed on Monday it was leading an investigation into drones seen near the nation’s three nuclear power plants, amid concerns the country isn’t prepared for the threat of the aerial devices.

Sweden’s police force was initially tasked with p


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Chance of Another Round of Winter Weather in Central NC by the End of the Week



RALEIGH, N.C. (WNCN) – Yes, central North Carolina has a chance for snow by the end of the week. But before we jump to conclusions, let’s take a moment to talk about where a low-pressure system needs to be for us to get snow.

Imagine you take an area of low pressure and slice it up into four parts. The two parts on the eastern side are warmer. It’s here where we are more likely to get rain or a mix of rain and snow.

Power outages still in the thousands in central NC amid winter storm

The two parts on the western side are the cold side. It’s here where we have the best chance for snow, especially if we fall in the top left part of the low (meteorologists call it the northwest quadrant).

I bring this up because a slight shift either to the west or east has a big impact on not only what kind of wintry weather we’ll have, but also how much.

So, about this weekend. Yes, the chance for snow is once again returning to the forecast, but because the location of the low pressure is still largely unknown, it’s tricky to nail down exactly how much snow we could see, or if we get another round of mixed precipitation like this past weekend.

Another wrinkle in this next potential round for winter weather is the cold front. A strong cold front will slide through Thursday, bringing downright frigid air for central North Carolina. While this can sometimes create snow for us, it’s not always the best setup for significant, winter wonderland snow.

But in addition to the cold front, an area of low pressure is expected to develop along that cold front and slide north. Models are not in agreement with timing or amounts because of these small-scale factors.

This is why winter weather in central North Carolina is often tricky and seems like it changes every day. It’s variable and very dependent on small-scale changes.

So, we may be talking about another chance for snow by the end of the week. If it’s only tied to cold air behind the front, the totals will be low. If low pressure develops and slides off our coast, we could have decent snow totals or even another round of a wintry mix.

It’s too early to say exactly, so we’ll keep tracking it for you here on CBS 17.

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