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 advanced ultrasound procedure (done at only two centers in the country) 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 risk for  heart attack and stroke. We believe that this technique offers significant advantages over simple carotid ultrasound done by many others in this area. 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. 

Fatty Liver/ NAFLD/ NASH Consultation Service

Dr Pokrywka has begun a partnership with local leading Hepatologists (liver disease specialists) to diagnose early and treat aggressively the EPIDEMIC of fatty liver disease, the leading cause of liver transplants today. Stay tuned for more details.  Early detection thru advanced FIBROSCAN liver ultrasound technology is now being done in cooperation with Mercy Medical Center and GBMC !

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. 

Personal Trainer / Fitness Consultant

Cathy Smith is a full-time personal trainer and fitness instructor in Ellicott City. She has 28 years of experience sharing her passion for fitness with clients ranging in age from 5 to 85.  Specializing in functional training techniques, Cathy teaches her clients how to move better through improved muscle and core strength, flexibility, and balance. She trains both individuals and small groups focusing on proper movement patterns and form.

Opportunities to connect with Cathy

  • Fitness consultation – no charge
  • Personal training – 30 minutes/$35, 45 minutes/$50, 60 minutes/$65
  • Program design – $125 includes (2) 45-minutes sessions & written program
  • Friday Functional Fitness Class – Friday’s 7:00 am/$5 per class

cathyvsmith@outlook.com   410-302-4662

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.

Cars don’t kill people (41,000+ 2021). People kill people w/cars. I propose we eliminate all licensing & registration of cars & drivers, drop driver education programs, allow cars to be bought/sold at car shows without background checks, eliminate speed limits & let freedom ring!

“No team in NFL history has boasted, bullied, or brandished as much bravado as the 2000-2001 Baltimore Ravens.”

👀🍿: https://trib.al/rT5KDfT

(via @ESPNPR)

For triglycerides, “normal” may not be “optimal” - Peter Attia https://peterattiamd.com/triglyceride-levels-cardiovascular-risk/?utm_source=twitter&utm_medium=social&utm_campaign=220515-NL-triglycerides&utm_content=220515-NL-triglycerides-tw

Age, race, high blood pressure and obesity can affect heart health during pregnancy. Talk to your health care team about your risks before, during and after pregnancy. #NationalWomensHealthWeek #NWHW

This accurately captures the experience of countless professors (including me). We need to go back to normal, which means no more Zoom recordings. Students might complain, but remote classes are bad for them. It's our job to teach them how to learn https://www.nytimes.com/2022/05/13/opinion/college-university-remote-pandemic.html?smid=tw-share

If you do not understand the absurdness of using the terms "Good or Bad" cholesterol, please take 12 minutes of your day and listen to this video. Also, if you read anything using those terms - stop reading it immediately. http://ow.ly/1WSx50J6heN

I just signed up on the CANNABIS MEDICINE: PRACTICAL GUIDELINES FOR THE PRACTITIONER page - https://www.signupgenius.com/go/10C0F4BA8AB23A5F5C61-cannabis

AFPA_Preventing_Secondary_Heart_Attacks_Infographic_April2022 https://admin.allianceforpatientaccess.org/wp-content/uploads/2022/05/AfPA_Infographic_SecondaryHeartAttacks_April2022.pdf

Does walking 10 minutes per day extend your life? (Hint: No.) - Peter Attia https://peterattiamd.com/does-walking-10-minutes-per-day-extend-your-life/?utm_source=weekly-newsletter&utm_medium=email&utm_campaign=220501-NL-walking&utm_content=220501-NL-walking-email-subs

FDA proposes ban on menthol cigarettes and flavored cigars | CNN https://www.cnn.com/2022/04/28/health/fda-menthol-cigarette-proposed-ban/index.html?utm_term=165122819262886928758d535&utm_source=cnn_Five+Things+for+Friday%2C+April+29%2C+2022&utm_medium=email&bt_ee=7aWox0%2F8eItsohh1rvefMU8%2BnwnmKX3upQu1u7CYAZsFGjKNDarFMDXZTKCTRuVx&bt_ts=1651228192630

New AHA Statement on NAFLD and Cardiovascular Risk: A Guideline Topline https://www.patientcareonline.com/view/new-aha-statement-on-nafld-and-cardiovascular-risk-a-guideline-topline?utm_source=sfmc&utm_medium=email&utm_campaign=04222022_PCO%20eNL_LeadGen_Clarius_Ashcroft&eKey=Z3Bva21kQHZlcml6b24ubmV0

KOWA TO DISCONTINUE K-877 (PEMAFIBRATE) "PROMINENT" CARDIOVASCULAR OUTCOMES STUDY. Well this is disappointing news. This was a trial of higher risk T2D with ⬆️TG & ⬇️ HDLc. We need to focus on apoB and not TG. https://www.prnewswire.com/news-releases/kowa-to-discontinue-k-877-pemafibrate-prominent-cardiovascular-outcomes-study-301520956.html

Institute for Patient Access https://instituteforpatientaccess.org/landmark-discovery-could-help-patients-cut-excess-weight/

Thrilled to launch the Cardio Care Now podcast in collaboration with @Consultant360 to explore hot topics in cardiovascular medicine.

Fortunate to have @ycommodore as our 1st guest!

Learn from her insights & work on health equity in CVD:
https://www.consultant360.com/health-equity-cardio-care-now-ep-1

#equityfirst

The results of #metaanalysis on global #prevalence of #statinintolerance have been released in #EHJ.

SI is usually overestimated and overdiagnosed and the prevalence is 9.1%, and when diagnosed with approved definitions (by NLA, EAS, ILEP) it is even<7%

https://academic.oup.com/eurheartj/advance-article-abstract/doi/10.1093/eurheartj/ehac015/6529098

2/11
The following is a collection of audio clips, podcasts, and articles focused on strategies for IR prevention and treatment.

My hope is that this content, in combination with last week’s roundup, will be valuable resources to support your ongoing longevity journey.

1/8
The good news: we have a “drug” that is very effective at delaying the onset of death and preserving healthspan. This drug is called exercise, and nothing else rivals it.

The bad news: it takes more time and effort than ingesting any pill or employing any “hack.”

7/8
Bottom line: I can’t dream of an intervention that has nearly this impact on human longevity. If intensive, well-formulated exercise does not occupy your first, second, and third priorities for longevity, it’s time to reexamine your priorities. https://bit.ly/34aAvY1

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