Baltimore Lipid Center

Dr. Gregory Pokrywka, MD FACP FNLA FASPC NCMP

Our ServicesMeet Dr. Pokrywka

Baltimore Lipid Center Services

Focus on diagnosis and treatment of Lipid Disorders (cholesterol and triglycerides), Preventive Cardiology (prevention and treatment of atherosclerotic cardiovascular diseases such as heart attacks and strokes) and prevention and treatment of Dysmetabloic disease (e.g. diabetes and obesity)

Lipid Clinic Consultation Service

As the Baltimore area’s only Lipid Clinic specializing in women (men seen also!) and directed by an elected Fellow of the National Lipid Association/Fellow of the American Society for Preventive Cardiology/Board Certified Menopausal Practitioner, Baltimore Lipid Center is unique! Patients are seen by self and cardiologist/endocrinologist/ GYN/ pediatrician/ primary care doctor referral, from throughout the region. Onsite assessment of lab work and onsite ECAQ carotid imaging allows simple, state of the art risk assessment and management. Our on-site Board-certified Clinical Nutritionist consults on almost all patients (usually covered by insurance) . Common reasons for referral are second opinion about the treatment, statin intolerance/side effects, premature or severe family history of cardiovascular disease, diabetic and pre-diabetic cholesterol and triglyceride issues, very high cholesterol/triglyceride values, and progression of the disease (e.g. repeated cardiovascular events) on conventional therapies.

Primary Care

My primary care/internal medicine practice is a concierge practice. Build a closer relationship with your physician who can spend more time with you (instead of trying to see 30 patients per day). The annual fee is $1,500/year (unchanged since 2010). Advantages of this type of practice also include the ability to email the physician, the incredible help of Office Manager Kristen Evans to help guide you through specialist appointments, pre-ops, prior authorizations (and navigate the complex healthcare system in general), and 90-minute Annual Preventative Exam. 

Extra Cranial Atherosclerosis Quantification (ECAQ)

“ECAQ” is a simple in office ultrasound procedure to assess the presence of atherosclerotic plaque. This information is used to gauge the intensity of lipid (cholesterol and triglyceride) lowering therapy you need to reduce your heat attack and stroke. To find out more follow this link.

Menopausal Consultation Service

As a North American Menopause Society (NAMS) Certified Menopausal Clinician, Dr. Pokrywka is attuned to the unique medical issues of the last 40-50% of a woman’s life-the menopause. 

Medical Cannabis 

Dr. P has attended Md Medical Cannabis Committee meetings and provides Medical Cannabis advice and certification for official Maryland approved indications, which are chiefly chronic pain, PTSD, and anorexia/wasting syndromes. (Contrary to popular opinion, anxiety and insomnia are NOT approved indications in Maryland for medical cannabis)

Nutritional and Medical Weight Loss Consultation

Dr. P works with our on-site Board Certified Clinical Dietitian (usually covered by insurance) to assess your diet and leverage a nutritional and exercise program to reduce your risk for cardiovascular disease, diabetes, and if necessary obesity-related complications. We often utilize such concepts as “low-carb”, “intermittent fasting” and “time-restricted feeding”. Bariatric medications (“weight-loss meds”) are often utilized when needed, and referral for bariatric surgery can be done.

Opioid and Alcohol Treatment

Dr. P has treated addictions patients (opioid and alcohol) since 2010 and has been Medical Director at First Step Addictions Center. He utilized a “medically assisted therapy” approach, combining medications like sublingual suboxone and Vivitrol injections, with mandatory counseling and on-site drug testing. This part of the practice is “cash-only” as insurance plans pay little or nothing for this type of treatment but WILL cover the medications. 

Cardiovascular disease is the leading cause of death and a reduction in quality of life in the United States. It is often preventable. Dr. Pokrywka is a National thought leader in the prevention of cardiovascular disease, and has published and lectured extensively coast to coast on the topics of advanced cholesterol/lipoprotein testing, prevention of cardiovascular disease and diabetes, and focuses (not exclusively) on Menopausal women and the above problems. We always encourage aggressive lifestyle changes first and use appropriate medications next when indicated.

HLS Therapeutics Announces that Icosapent Ethyl is Included in the 2021 Canadian Cardiovascular Society (CCS) Guidelines for the Management of Dyslipidemia for the Prevention of Cardiovascular Disease in Adults http://hlstherapeutics.investorroom.com/2021-03-29-HLS-Therapeutics-Announces-that-Icosapent-Ethyl-Vascepa-R-is-Included-in-the-2021-Canadian-Cardiovascular-Society-CCS-Guidelines-for-the-Management-of-Dyslipidemia-for-the-Prevention-of-Cardiovascular-Disease-in-Adults#.YGHRdFKNpRF.twitter #cardiotwitter @gabrielsteg @mmillermd1

In a rational world the fact that the FDA halted the J&J vaccine for a one in a million rare side effect would actually serve to reinforce our faith in the vaccines.

#VaccinesSaveLives #CovidVaccine Though the risk of blood clots is higher with Covid, the CDC & the FDA are always cautious. Thank you. @CDCgov @US_FDA @GovNedLamont @Voices4Vaccines @CTMirror @teensforvaxx @CTDems

Path to Better Sleep - Veteran Training (free 6 week Cognitive Behavioral Training Course for insomnia- available to ALL ) https://www.veterantraining.va.gov/insomnia/

No one wants to live to be 130 if it includes a 50-year stint in a nursing home at the end. Treating the effects of aging more directly could mean healthier lives, not just longer ones. https://www.wsj.com/articles/the-best-remedy-for-our-diseases-aging-less-11618003335

Nutrients | Free Full-Text | Dietary Fructose and the Metabolic Syndrome (CJ Packard) https://www.mdpi.com/2072-6643/11/9/1987

Dont waste your time on prescientific Ayurveda concepts....https://pocketmags.com/us/skeptical-inquirer-magazine/january-february-2021/articles/901793/ayurveda-ancient-superstition-not-science

HCP should NOT trust generic IPE ; we have NO idea of the generic's efficacy and it is NOT even indicated for cvd event reduction ! fight for the Branded product please ! Amarin launches Vascepa in all-important Europe as it slowly bleeds share to U.S.https://www.fiercepharma.com/marketing/amarin-launches-vascepa-all-important-europe-as-blockbuster-to-be-heart-drug-slowly

CIA @AHANewYorkCity
Let’s go! Where will you be walking on National Walking Day April 7th? #movemore #NationalWalkingDay #walk #choosetomove 👟👟🚶🏻‍♂️🚶🏽‍♀️🚶🏿‍♀️🚶🏼‍♂️🚶🏼🦮🐕‍🦺

HDL is also a human lipoprotein & some of the metrics used to characterize it are HDL-C, HDL-TG, HDL-P, apoA-I, particle sizes, subfraction metrics like HDL2-C, large & small HDL-P, pre-beta and alpha HDLs. There is no such thing as an HDL-C particle. Review the 4 graphics below

4

HDL Enigmas - Cleveland Clinic study reveals a U-shaped association between HDL-C & overall mortality, with HDL-C levels of 30-50 mg/dl associated with the most favorable outcomes, and HDL-C levels < 30 mg/dl or > 50 mg/dl associated with worse outcomes https://pubmed.ncbi.nlm.nih.gov/33535058/

2

Book Review: ‘Life’s Edge,’ by Carl Zimmer - The New York Times https://www.nytimes.com/2021/03/24/books/review/lifes-edge-carl-zimmer.html

LDL-C Levels Below 55 mg/dl and Risk of Hemorrhagic Stroke: A Meta-Analysis - ScienceDirect https://www.sciencedirect.com/science/article/abs/pii/S1052305721000574?dgcid=raven_sd_recommender_email

Optimal use of lipid-lowering therapy after acute coronary syndromes: A Position Paper endorsed by the International Lipid Expert Panel (ILEP) - ScienceDirect https://www.sciencedirect.com/science/article/pii/S1043661821000839?dgcid=raven_sd_recommender_email

This is false: Niacin was shown to have benefit in pre-statin era, but not in statin era. However, absence of evidence does not mean no association, as an outcomes study with niacin in which all subjects had high Lp(a) when enrolled has not been done. https://twitter.com/Lpa_Doc/status/1375879630507241472

Sam Tsimikas, MD@Lpa_Doc

6/20 6-true or false: Niacin lowers Lp(a) and has been shown to lower CVD events in people with elevated Lp(a) already taking statins

It was an honour to have Prof. Chris Packard on the podcast.

He is one of *the* most important researchers in the fields of #atherosclerosis prevention/treatment and #lipoprotein metabolism.

Link: https://sigmanutrition.com/episode381/

Daily Semaglutide Effective for Nonalcoholic Steatohepatitis in Phase 2 Trial https://www.endocrinologynetwork.com/view/semaglutide-effective-nonalcoholic-steatohepatitis-phase-2-trial via @endocrinenetwrk

@davidasinclair It's unlikely because the chinese lab has really good safety measures and the WHO didn't see any record of sarscov2 like viruses. Definitely case closed on that. 🙄

Just read the #WHO #COVID report 🦠. “Laboratory origin of the pandemic [is] considered to be extremely unlikely.” (p.119). Darn it WHO! Conspiracy theories are so much more exciting #SARSCoV2 https://tinyurl.com/5ac48y8a

An estimated 1 in 3 people have elevated #triglycerides, putting their #hearthealth at risk. Click here to learn more: http://bit.ly/NationalTGDay #TGDay21 #RethinkCVRisk #ThinkTriglycerides

Q&A on Alzheimer’s disease drug therapy with Dr. Richard Isaacson - Peter Attia https://peterattiamd.com/qa-with-dr-richard-isaacson-on-aducanumab-alzheimers-disease-drug-therapy/

Prevention of Coronary Heart Disease: The Importance of Imaging and Advanced Biomarkers – The Skeptical Cardiologist https://theskepticalcardiologist.com/2021/03/06/prevention-of-coronary-heart-disease-the-importance-of-imaging-and-advanced-biomarkers/

(24) This Sunday, March 28, is National Triglycerides Day | LinkedIn https://www.linkedin.com/pulse/sunday-national-triglycerides-day-craig-granowitz/?trackingId=iORS7DRjQmWyBemPGVvT5Q%3D%3D

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