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.

Science Denial: Why It Happens and What to Do About It- Terrific new book https://www.amazon.com/dp/B09HSVC1TF/ref=cm_sw_r_apan_glt_R2E2FRPT8S4N7W2TCPHY

The USPSTF Revisits Who Should Take Aspirin – The Skeptical Cardiologist (those who've had an event and those who have significant subclinical disease) https://theskepticalcardiologist.com/2021/10/13/revisiting-who-should-take-aspirin/

Opinion: How to protect pregnant people from Covid-19 - CNN https://www.cnn.com/2021/10/12/opinions/protect-pregnant-people-covid-19-box-jamieson-monroe/index.html

Probiotics Fact and Fiction ("no compelling reason to take a pro-biotic") https://skeptoid.com/episodes/4801?utm_source=skeptoid&utm_campaign=companion_email&utm_content=current_episode_textlink&utm_medium=email

Why Exercise Is More Important Than Weight Loss for a Longer Life (via @Pocket)
https://www.nytimes.com/2021/09/29/well/move/exercise-weight-loss-longer-life.html?utm_source=pocket_mylist

Women’s Health: Beyond the Annual Visit - Omnia Education https://omniaeducation.com/cme/womens-health-education/ (Dr Karol Watson and Lecturing at this !)

looking forward to watching the new #Foundation series, based on the books by Isaac Asimov, which I read in my teens. I just learned that he died, tragically, from HIV that he got from a blood transfusion during bypass surgery https://en.wikipedia.org/wiki/Isaac_Asimov

Heart disease is the leading cause of death of black women in their 30s, claiming more lives than all cancers, accidents, assaults and Alzheimer’s Disease – combined. Joining a focus group could help us learn why. Learn more: http://spr.ly/6011yIbXJ

How to decide if you should be getting a Covid-19 booster - CNN https://www.cnn.com/2021/09/29/health/who-should-get-a-booster-wen-wellness/index.html?utm_term=1632997949796a1de847f9e44&utm_source=cnn_Five+Things+for+Thursday%2C+September+30%2C+2021&utm_medium=email&bt_ee=CbxdulDdzhg7CkCQr9GG0Jej6OmSieLxoqC%2BJZQMwjvLHvJ26yJAQaq9KbnK0gXl&bt_ts=1632997949798

NEW ORG ! = EACH (European Alliance for Cardiovascualr Health) https://www.cardiovascular-alliance.eu/?utm_medium=Email&utm_source=My%20ESC%20News&utm_campaign=ESC%20-%20Newsletter%20-%20week%2039%20-%202021

NAFLD (Non-Alcoholic Fatty Liver Disease) Fibrosis Score - MDCalc Useful clinical scoring system discussed at NLA meeting ! https://www.mdcalc.com/nafld-non-alcoholic-fatty-liver-disease-fibrosis-score

Why Athletes Need to Lead the Drive to Vaccinate - by Kareem Abdul-Jabbar - Kareem Abdul-Jabbar https://kareem.substack.com/p/why-athletes-need-to-lead-the-drive?utm_medium=email&utm_campaign=cta

The Origins of "Cool" in Post-WWII America | The National WWII Museum | New Orleans https://www.nationalww2museum.org/war/articles/origins-of-cool-in-post-wwii-america?mc_cid=656ef81a3a&mc_eid=b2dc4bdefc

How to boost your metabolism at any age - CNN https://www.cnn.com/2021/09/24/health/how-to-boost-metabolism-wellness/index.html?utm_term=1632661637421e12bc272bd6b&utm_source=cnn_Five+Things+for+Sunday%2C+September+26%2C+2021&utm_medium=email&bt_ee=AVX%2F4%2FlnIXw2HWpCkotQQBVANYPTQ32DHHp383RtY%2BGMrcs9G%2B4fgatPiuK9AtQi&bt_ts=1632661637424

Everyone knows I spent years educating clinicians and writing about fenofibrate (prodrug) and fenofibric acid (active drug) but I could not have predicted this interesting data https://www.news-medical.net/news/20210823/Lipid-lowering-drug-TriCor-dramatically-cuts-treatment-time-for-severe-COVID-19-patients.aspx Thanks to alert from my pal @JPSwcpmc

Opioids can endanger older users, increasing risks such as falls and cognitive problems and interacting harmfully with other medications. But their increasing use also makes seniors vulnerable to exploitation and abuse. https://nyti.ms/3m0WKob

Preparing for the NASH Epidemic: A Call to Action 2021 DCi210020_proof.pdf https://care.diabetesjournals.org/content/diacare/early/2021/07/22/dci21-0020.full.pdf

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