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Monday, February 24, 2020 8:31:03 AM
Not great comments from all these famous cardiologists..I guess its tough to teach "old dogs" new tricks...These guys just do not get it...Take away the EPA/AA ratios and what do you have?...Certainly not Budoff's pathetic EVAPORATE trial...I was at the Orlando AHA meeting when ChERRY was presented (in a small room where most of the chairs were empty) it was a 5 PM presentation and most of the crowd had gone home or were getting ready for dinner...The presenter was a young Japanese guy who looked like a teen ager...and clearly was very uncomfortable with the English language and spoke in a voice so lowly as he could barely be heard...After the presentation the AHA monitor asked the predictable question.."What were the statin doses?..Turns out the patients were on Max doses..
Cherry is still ten times better than EVAPORATE..because CHERRY did understand the issue was plaque stability and not just the gross amount of plaque in general...CHERRY look at cap thickness..Not overall plaque progression or regression.
IT's all about the AA/EPA ratios...the SI levels..everything emanates from the SI levels..High trigs are in virtually every case the result of high SI (high AA/EPA) levels..not from eating too many trigs. What was R-I...It was a CVOT where they decreased the AA/EPA levels by increasing the dietary intake of EPA..Why is that so effing difficult for these geniuses to understand...They were not not manipulating the intake of bacon or butter or fried chicken...They were increasing the daily intake of EPA...Why haven't we heard about the AA/EPA levels...Just because the AHA is ignorant about AA/EPA does not alter the facts. Is it so hard for to understand..the old lipid picture was not correct..it was never correct...Will we ever move on...I understand Budoff will never get it..I hope eventually Bhatt might..
":>) JL
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