Very High LDL Triggers Aggressive Statin Therapy, Roach Says
In a health Q&A, Dr. Roach explains that an LDL over 190 mg/dL carries high cardiovascular risk, so statin therapy is recommended—even for younger patients—though the dose is debated. A patient on rosuvastatin 40 mg plus ezetimibe is reasonable, but many clinicians tailor dosing to reach LDL goals (often <70 mg/dL) by starting lower and titrating. In a second question, diet sodas can erode tooth enamel and may influence gut microbiome and future glucose control; they don’t reliably raise A1C in the short term, but water is best, with sugar-sweetened beverages worse for health.
