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.

New Data Leads To Rethinking (Once More) Where The Pandemic Actually Began

there is no human evidence that shows Artificial sweetener consumption increases one’s risk of developing metabolic syndrome or diabetes.(via @Pocket) #longreads

"Throw all the accolades you want up...he (Bellichick) is LITERALLY, the single highest fined coach in the NFL HISTORY for cheating...that diminishes every single accomplishment.....that's the justice Belichick deserves..."- couldn't agree more !

Additional Fact Briefs published on Repustar (terrific new site publishing skeptical retorts to common questions )

Fact Brief: Are carbon dioxide emissions from human activities enough to affect the climate? YES !!) | Repustar

Fact Brief: Does the ‘Mike’s trick’ email from the ‘climategate’ controversy show that scientists were falsifying climate change data? (NO !) | Repustar

ACHA Recommends COVID-19 Vaccination Requirements for Fall 2021

US coronavirus: Young children will pay the price if enough US adults don't get vaccinated against Covid-19, expert says - CNN (via @Pocket)

The Quackometer Blog – Experiments and Thoughts on Superstitious Health Beliefs . The sad decline of Science Based Medicine .

Virtual 89th EAS Congress 2021, Helsinki . Much ado about TRIGLYCERIDES !

Covid-19 Vaccination Mandates: SSM, the Delta Variant, and the FDA – The Skeptical Cardiologist

Healthline is not a reliable source of health information and apple cider vinegar is not useful for hypertension – The Skeptical Cardiologist

@Lpa_Doc I suspect the advice to not eat cholesterol in FH, applies only to those with significant hyper-absorption of cholesterol, meaning they have a secondary genetic hit at ABCG5 or G8. They are compound heterozygotes and have both LDLR and an ABCG5/G8 defects. Measure sitosterol.

COVID experts at symposium co-hosted by Johns Hopkins lay out benefits, risks of vaccines for young children - Baltimore Sun . ANOTHER great victory for science !

Impact of Optimal Medical Therapy on 10-Year Mortality After Coronary Revascularization - ScienceDirect (again, OPTIMAL MEDICAL THERAPY WORKS !)

“Quack Protection Acts” proposed in state legislatures | Science-Based Medicine

How antimaskers weaponize techniques of scientific analysis to attack mask mandates | Science-Based Medicine

“COVID-19 vaccines are going to sterilize our womenfolk,” Take 2 | Science-Based Medicine

H.R. 2654 forces Medicare to treat chiropractors and MDs as equals | Science-Based Medicine

“No evidence, no problem: A closer look at the aducanumab approval”

Artificial Proteins Never Seen in the Natural World Are Becoming New COVID Vaccines and Medicines - Scientific American

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