Dr Gary McGowan
@drgarymcgowan
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Doctor (Med SHO on BST GIM) | Physio (BSc) | Trainer/Owner @triagemethod | Current MSc Prev Cardiology | Interest in Cardiology, Lipids, HTN, Diet & Exercise
Killarney, Ireland
Joined July 2024
The LDL Skeptic promotes supplements for SECONDARY PREVENTION instead of lipid-lowering therapy, then adds his discount code 🙄. “A supplement that could have benefit” instead of the medications with very well established benefits?.
@Redman7Knight @ProfTimNoakes @DrAseemMalhotra @malcolmken @MaryanneDemasi We've published papers implicating excess clotting and insufficient clot reduction (fibrinolysis) as far superior markers and causes of blocked arteries than LDL. The lit suggests optimizing fibrinolysis would be superior to statins. A supplement that could have benefit is
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Thank you. Carbs & vegetable oils shall be consumed.
@drgarymcgowan You are a buffoon, idiot and I hope that you personally eat as much h vegetable oils and carbohydrates as possible.
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RT @hamik1998: @sanilrege The problem with the world is when they need to study more and more instead they start writing.
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Ancel Keys is a hero in the history of nutrition science and his critics aren’t worthy of buttering (God forbid) his toast.
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Summer shredding ‘bout to get real easy 🤙🏽😂. And without it, there’s always @triagemethod coaching 🗣️.
💊 Pill Power: 50 mg Oral Semaglutide Delivers Big Weight Loss — OASIS‑2 Trial.- - -.📍 JAMA Internal Medicine, Aug 4 2025 — 68‑week, double‑blind RCT in Japan & South Korea. Dose: Once‑daily oral semaglutide 50 mg vs placebo + lifestyle support. Population: Adults with
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In the INTERASPIRE study of 4548 adults with CHD from 14 countries across 6 WHO regions, just 1.0% of participants achieved optimal guideline adherence for secondary prevention within 1 year of their index hospitalisation.
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Control of BP & LDLc after CHD events. how are we doing?. Just 38.6% achieved a blood pressure (BP) < 130/80 mmHg and 16.6% an LDL cholesterol (LDL-C) of <1.4 mmol/L. Women = less likely to achieve desired risk factor targets. More from INTERASPIRE:.
pubmed.ncbi.nlm.nih.gov
INTERASPIRE demonstrates inadequate and heterogeneous international implementation of guideline standards for secondary prevention in the first year after CHD hospitalization, with geographic and sex...
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Endurance athletes underestimate how unfit and inactive most people are. Adding regular stairs for most people is like an extra run for you. And it’s not just the stairs, it’s the intent and what comes with it — the choice to be active!. Take the stairs 🫀.
My unpopular opinion is that “taking the stairs” instead of an elevator will have essentially zero public health impact.
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The world’s leading ultraprocessed foods researcher @KevinH_PhD left the NIH because of censorship from this administration. Instead of his UPF work being supported and promoted, it was censored. MAHA prefers pre-made conclusions instead of supporting high quality UPF science.
Ultra-processed foods are driving our chronic disease epidemic. We must act boldly to eliminate the root causes of chronic illness and improve the health of our food supply. Defining ultra-processed foods with a clear, uniform standard will empower us even more to Make America.
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At @triagemethod, we have had many clients work with us for coaching while on GLP-1RAs. Beyond great fat loss outcomes, there is often a profound realisation that appetite control & loss of overwhelming food focus is possible. (We don't prescribe, we manage diet & exercise).
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RT @AlexJLeaf: Losing excess body fat is literally one of the best ways to improve insulin resistance and countless other risk factors. It….
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RT @CoffeeBlackMD: Your HR might not tick above 40 on flat ground at a walk but I promise for many of my obese and or pulmonary disease pat….
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The last US Food Pyramid was published in 2005 and was gotten rid of in 2011. "No longer are we going to have a broken food pyramid". One might think the FDA Director would at least know what the current guidelines are before the "renaissance".
“We are going to have dietary guidelines that are based on science, not based on medical dogma.” —@DrMakaryFDA
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31M, fatal MI, 10 yr Hx LDLc 600+ mg/dL, no Hx FH. 🔬 Caused by monoclonal gammopathy w/ autoantibody to LDL receptor, impairing clearance. 🫀Natural experiment of ⬇️LDLr function, ⬆️ LDLc/ApoB. ➡️ Rapid ASCVD, MI, death (1986). Interesting case.
pubmed.ncbi.nlm.nih.gov
We studied a 32-yr-old man with a benign paraproteinemia (IgA) affected by severe nonfamilial hypercholesterolemia. In vitro experiments demonstrated that lipoprotein-deficient serum (LPDS) from the...
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RT @upRootNutrition: For those of you who track your diet/exercise, how often do you use the web interface through your PC's browser instea….
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Total nonsense. Made up numbers. Zero evidence. Medical education merely provides the knowledge for doctors to *know* what to *advise*. Spoiler Alert: telling people what to do often doesn’t work, even when done well. YES to more prevention, but we needn’t BS our way there.
If doctors were trained in nutrition, we could:. -Prevent up to 90% of heart disease cases.-Prevent up to 90% of type 2 diabetes cases.-Save billions in healthcare costs through nutrition-focused interventions. This isn’t theoretical. With the right education, it's achievable.
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Wrong. LDLc targets aren’t fixed, as targets vary in primary vs secondary prev, and few cardiologists chase LDLc < 1.4 mmol/L in primary prev. Hitting < 2.6 or 3 mmol/L (targets used for low/mod risk patients as per EAS/ESC) is achievable for many without drugs or vegan diet.
The LDL cholesterol level that most cardiologists strive for can only be accomplished pharmacologically or by becoming a cachectic vegan. That tells you everything you need to know. It lacks basic common sense.
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Final week as an Intern or “PGY1” in freedom units. Next up, beginning of my Internal Medicine training as an SHO (BST GIM, with Resp to start!). Final month of my MSc Preventive Cardiology also. Busy year. It will all be worth it. One more step toward the goal of Cardiology🫀.
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Imagine using the diet of Neanderthals (extinct) to support modern dietary choices. Say it with me: diets for survival in times of scarcity do not necessarily inform diets for longevity in times of abundance.
Healthy fats 'produced' in a #Fat factory 125000 years ago. The Neanderthals knew about #LCHF way back. Just, maybe #Fat has been an integral part of our evolutionary pathway. @ProfTimNoakes @zoeharcombe @SBakerMD @KenDBerryMD @RobertKennedyJr @lowcarbGP.
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