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.

It's coming! Now is time for US clinicians to start learning about twice-a-year dosing siRNA therapeutic agent inclisiran, which targets PCSK9 production thereby dramatically improving lipid metrics - https://www.theguardian.com/science/2021/sep/01/gamechanging-heart-disease-drug-approved-for-use-in-england

What "functional medicine" really is - RESPECTFUL INSOLENCE . Please avoid these "functional medicine practitioners." They DO do some positive things but their philosophy and approach overall is seriously flawed. GREAT READ ! :)https://respectfulinsolence.com/2016/12/05/what-functional-medicine-really-is/

Resistance training as a medicine to improve endothelial function - ScienceDirect (both dynamic resistance training and isometric hand grip training contribute to improved endothelial function measured as flow-mediated dilatation of the brachial artery) https://www.sciencedirect.com/science/article/pii/S0021915021012788?dgcid=raven_sd_via_email

Recent publications on Residual Risk : why a lifetime perspective matters. Therapy based on a lifetime benefit approach would increase CVD-free life years substantially more than with risk-factor based treatment https://www.r3i.org/recent-1150

When is it Appropriate to Lower Low Density Lipoprotein-Cholesterol Levels to <30 mg/dL? https://mcusercontent.com/f014b675777f1207ea9bafbf5/files/c0865a3c-3c9e-7b36-4a20-28141355c793/Wong_ND_AJC_Editorial_LDL_C_30.pdf?utm_source=NLA+Master+List&utm_campaign=ea08d05120-%40LIPID_2018_4_4_18_COPY_01&utm_medium=email&utm_term=0_ca7c48644a-ea08d05120-181350197

The Baltimore Ravens and The Stephen & Renee Bisciotti Foundation are donating $1 million to support Hurricane Ida relief funds in New Orleans and the surrounding Louisiana areas.

I really don’t like seeing this Adam. When I came into the league the NFL had a stance against gambling. Now it seems like we’ve accepted it. I realize it’s legal now but we’ve all seen the damage gambling can do to lives. I don’t think we should be promoting it. https://twitter.com/AdamSchefter/status/1432355057136242696

Adam Schefter@AdamSchefter

Sign of the times: NFL has reached agreements with FOX Bet, BetMGM, PointsBet, and WynnBET to become Approved Sportsbook Operators for the 2021 NFL season.

Early Harvest Extra Virgin Olive Oil | Kosterina Greek Olive Oil https://www.kosterina.com/ the VERY best EVOO; hi phenol content associated with cardioprotection in the Predimed study !

https://sciencebasedmedicine.org/we-are-not-losing-the-war-on-cancer-belated-2021-edition/?utm_source=rss&utm_medium=rss&utm_campaign=we-are-not-losing-the-war-on-cancer-belated-2021-edition

https://sciencebasedmedicine.org/long-covid-alternative-medicine-sees-a-business-opportunity/?utm_source=rss&utm_medium=rss&utm_campaign=long-covid-alternative-medicine-sees-a-business-opportunity

https://sciencebasedmedicine.org/cognitive-illusions-and-how-not-to-write-about-covid-19-and-children/?utm_source=rss&utm_medium=rss&utm_campaign=cognitive-illusions-and-how-not-to-write-about-covid-19-and-children

https://sciencebasedmedicine.org/genetic-testing-for-selection-of-psychotropic-medications/?utm_source=rss&utm_medium=rss&utm_campaign=genetic-testing-for-selection-of-psychotropic-medications

LDC-Limbo: Lowering to Desired Levels of Cholesterol: Lasting Improvements and Meaningful Benefits Overall https://www.ldl-climbo.org/toc.php

WOW - Dr Bill Harris 20 minute interview with 1 of the giants in fatty acid lipidology - Copenhagen's Dr. Jörn Dyerberg was one of the pioneers with Olaf Bang who took their dogsleds to Greenland & evaluated the Inuits - discovered EPA https://www.youtube.com/watch?v=_vTH_aKcrEU @OmegaQuant

Durant is up to 23 points as #USA's lead grows to 59-50 after going down by 15 in the first half.

Aussie might need to bring Thybulle in ASAP. KD might go off for 40.

Holiday, Booker, Bam have been exceptional, too.

#Olympics #Tokyo2020

For the next #NFLPASummerReadingSearies feature we would like to highlight @BirkMatt. Matt played for the @Vikings and @Ravens. He is the author of "All Pro Wisdom"!
https://amzn.to/3wrnzpC

Keynote – Atherogenic potential of postprandial lipaemia in diabetes - Triglyceride Forum https://www.triglycerideforum.org/expert-meetings/keynote-atherogenic-potential-of-postprandial-lipaemia-in-diabetes/

Keynote – Remnant cholesterol - Triglyceride Forum https://www.triglycerideforum.org/expert-meetings/keynote-remnant-cholesterol/

Ask a Scientist About T. rex | AMNH https://www.amnh.org/explore/ology/paleontology/ask-a-scientist-about-t.-rex?utm_source=tmatm&utm_medium=email&utm_campaign=210727-MKT-Digital-Resources-Global&utm_term=subscriber&utm_content=version_A&sourcenumber=35979

How Much Exercise Do You Need for Better Heart Health? - The New York Times https://www.nytimes.com/2021/02/17/well/move/exercise-heart-health.html?referringSource=articleShare

Carbs have been vilified & blamed for obesity epidemic, T2D & CVD. But the important role of carbohydrate in a healthy diet is often forgotten. This paper is an excellent review of carbs re wt, IR, T2D, inflammation, lipids, CVD & all-cause mortality. https://www.atherosclerosis-journal.com/article/S0021-9150(21)00146-5/fulltext?dgcid=raven_jbs_etoc_email

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For those who know their lipid biochemistry - These are a collection of very short & funny song parodies written & sung by David Kritchevsky who was also one of the most influential researchers on diet & health of the 20th century. Take a listen at https://www.youtube.com/watch?v=67SIvbIDMFI

Are You a Carboholic? Why Cutting Carbs Is So Tough - The New York Times https://www.nytimes.com/2017/07/19/well/eat/are-you-a-carboholic-why-cutting-carbs-is-so-tough.html?referringSource=articleShare

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