A systematic review comparing PCSK9 inhibitors showed that while alirocumab reduced the risk of all cause mortality, evolocumab did not demonstrate the same effect. Specifically, evolocumab showed an 18% increased risk of mortality in lipid-lowering trials and a 12% increased risk in clinical outcome trials. The study also revealed a higher percentage of deaths in the evolocumab group compared to the placebo group, resulting in a number needed to harm of 213 over a median follow-up of 2.2 years.
Today, Paul and Mike unpack their opinions about lipids. They talk about true risk for cardiovascular disease, primary versus secondary prevention, lipid lowering drugs, and share their thoughts on a recent podcast episode with Peter Attia.
*Produced by Mountain Valley Media
00:06:08 Blood markers & imaging techniques of metabolic function
00:14:38 Gene mutations
00:20:28 LDL & Plaque burden
00:27:23 Money in statins
00:31:38 Downsides of lowering LDL
01:21:23 The downsides of popular cholesterol lowering drugs
01:41:07 Should we fear heart attacks?
01:45:23 PCSK9 Inhibitors
01:52:43 Risk profile of Statins
01:53:02 Risk vs. reward of Ezetimibe
02:04:02 Primary vs. secondary prevention
Resources:
Debunking Sugar Claims: What Dr. Lustig Got Wrong On The Huberman Podcast:
https://www.youtube.com/watch?v=JcEmSgbMfco&t=2933s
Work With Mike: https://mikefave.com/